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WorksheetsFOH Final Practice
Total questions: 100
Worksheet time: 50mins
Which model describes a reflective process involving the steps of Noticing, Interpreting, Responding, and Reflecting?
Lasater Clinical Judgment Rubric
Tanner’s Clinical Judgment Model
NCSBN Clinical Judgment Measurement Model
National Council of State Boards of Nursing Model
The initial perception of a situation, influenced by the nurse's experience, knowledge, and relationship with the patient, is called ________ in Tanner’s Clinical Judgment Model.
Noticing
Interpreting
Responding
Reflecting
Which step in Tanner’s Clinical Judgment Model involves attributing meaning to the collected data using various reasoning patterns?
Noticing
Interpreting
Responding
Reflecting
In Tanner’s Clinical Judgment Model, what does the 'Responding' step involve?
Deciding on and carrying out an appropriate action (or inaction).
Gathering information and cues from the patient.
Reflecting on the outcomes of the intervention.
Identifying the main problem or issue.
Reflecting in Tanner’s Clinical Judgment Model refers to:
A) Thinking back on the situation, both during and after the event, to learn from the experience
B) Attributing meaning to data
C) Prioritizing hypotheses
D) Recognizing cues
Which rubric is developed based on Tanner’s model and details the development of clinical judgment through observable behaviors?
Lasater Clinical Judgment Rubric
NCSBN Clinical Judgment Measurement Model
Tanner’s Clinical Judgment Model
National Council of State Boards of Nursing Model
Effective Noticing in the Lasater Clinical Judgment Rubric involves ________.
focused observation and recognizing deviations from expected patterns
making assumptions without evidence
ignoring patient cues and focusing on routine tasks
delaying assessment until problems become obvious
Which of the following is NOT a component of the NCSBN Clinical Judgment Measurement Model (CJMM)?
A) Recognizing cues
B) Analyzing cues
C) Reflecting
D) Taking actions
List the six cognitive operations outlined by the NCSBN Clinical Judgment Measurement Model (CJMM).
Recognizing cues, Analyzing cues, Prioritizing hypotheses, Generating solutions, Taking actions, Evaluating outcomes
Recognizing cues, Analyzing cues, Prioritizing hypotheses, Generating solutions, Taking actions
Recognizing cues, Interpreting cues, Prioritizing interventions, Generating solutions, Taking actions, Evaluating outcomes
Identifying cues, Analyzing cues, Prioritizing hypotheses, Generating solutions, Taking actions, Evaluating outcomes
Effective Responding in the Lasater Clinical Judgment Rubric is characterized by a calm, confident manner, clear communication, and skillful, flexible interventions.
True
False
Which of the following is the first step in the Nursing Process?
Planning
Assessment
Evaluation
Diagnosing/Identifying actual or potential problems
The Nursing Process is a systematic, organized mental model that guides nursing practice through a series of steps, starting with _________
Assessment
Diagnosis
Planning
Evaluation
Which characteristic of a nursing assessment ensures that the nurse has a clear objective for the assessment?
Purposeful
Prioritized
Complete
Systematic
Match the following characteristics of a nursing assessment with their descriptions:
Prioritized
Focuses on the most urgent patient needs first
Systematic
Conducted in an organized, methodical manner
Factual and accurate
Data is based on facts and verified for correctness
Information perceived only by the affected person is called ________ data.
Subjective
Objective
Relative
Quantitative
Which of the following is an example of objective data?
The patient's pain experience
Feeling anxious
Elevated temperature
Feeling dizzy
Data documented clearly and consistently to ensure effective communication is described as 'Recorded in a standard manner.'
True
False
Which type of assessment is performed shortly after admission to a healthcare facility to establish a complete database for problem identification and care planning?
Initial (Comprehensive) Assessment
Time-lapsed (Ongoing partial) Assessment
Focused Assessment
Emergency Assessment
What is the purpose of a Time-lapsed (Ongoing partial) Assessment?
To gather data about a specific problem
To compare a patient’s current status to baseline data obtained earlier and to reassess health status
To identify and address life-threatening problems
To establish a complete database for problem identification
Focused Assessment is performed to _________.
gather data about a specific problem that has already been identified or to assess a new or overlooked issue
evaluate the overall health status of a patient
administer medication to a patient
prepare a patient for surgery
Which assessment is conducted when a physiologic or psychological crisis presents to identify and address life-threatening problems?
Emergency Assessment
Quick priority Assessment
Focused Assessment
Initial Assessment
Quick priority Assessment is a short, focused, prioritized assessment to gain the most important information first, often used to _________?
flag existing problems and risks
schedule routine check-ups
document patient history in detail
perform lengthy diagnostic tests
Which core assessment technique involves the process of performing deliberate, purposeful observations in a systematic manner to assess size, color, shape, position, and symmetry?
Inspection
Palpation
Percussion
Auscultation
Palpation uses the sense of ________ to assess skin temperature, turgor, texture, moisture, vibrations, and the shape of masses or organs.
touch
sight
hearing
taste
The act of striking one object against another to produce sound, which helps assess the location, shape, size, and density of underlying tissues, is called _________.
Percussion
Auscultation
Palpation
Inspection
Auscultation is the act of listening with a ________ to sounds produced within the body, such as heart, lung, and bowel sounds.
stethoscope
thermometer
sphygmomanometer
otoscope
Nursing Diagnosis focuses on unhealthy human responses to health and illness, while Medical Diagnosis identifies a ________ disease process.
specific
general
temporary
unknown
Fill in the blank: Recognizing patterns or clusters involves ______ patient data or cues that point to the existence of a health problem.
Grouping
Ignoring
Forgetting
Separating
Fill in the blank: Identifying strengths and current or potential problems means determining the patient's ______ and health challenges.
resources
medications
appointments
insurance
Fill in the blank: Identifying potential complications means anticipating ______ associated with the patient's condition or treatment.
risks
benefits
medications
appointments
Fill in the blank: Reaching conclusions means formulating a ______ about the patient's health status.
judgment
diagnosis
treatment
plan
Fill in the blank: In a nursing diagnosis statement, the Problem identifies what is ______ about the patient, using a standardized diagnostic label.
unhealthy
normal
improving
unknown
Fill in the blank: Etiology in a nursing diagnosis identifies the factors that are ______ or contributing to the unhealthy state.
causing
preventing
ignoring
treating
Fill in the blank: Defining Characteristics (Signs and Symptoms) are the cluster of subjective and objective data, cues, and patterns that serve as the ______ for the problem.
evidence
treatment
diagnosis
solution
Which type of nursing diagnosis is described as a clinical judgment concerning an undesirable human response to a health condition/life process that exists in an individual, family, or community?
Problem-focused
Risk
Health promotion
Etiology
Which type of nursing diagnosis is described as a clinical judgment concerning the vulnerability of an individual, family, group, or community for developing an undesirable human response to health conditions/life processes?
Problem-focused
Risk
Health promotion
Defining Characteristics
Which type of nursing diagnosis is described as a clinical judgment concerning motivation and desire to increase well-being and to actualize human health potential?
Problem-focused
Risk
Health promotion
Etiology
Fill in the blank: Premature diagnoses are made based on an ______ database.
incomplete
accurate
comprehensive
updated
Fill in the blank: Erroneous diagnoses result from an ______ database or faulty data analysis.
inaccurate
organized
complete
updated
Fill in the blank: Errors of omission involve overlooking ______ data that could lead to a different diagnosis.
significant
irrelevant
random
minor
Which of the following is NOT one of the three elements of comprehensive planning in nursing?
Initial
Ongoing
Discharge
Evaluation
Fill in the blank: The planning step in the nursing process is a strategic phase where the nurse establishes _______, sets patient-centered goals and outcomes, and selects evidence-based nursing interventions.
priorities
diagnoses
medications
vital signs
Match the levels of Maslow's Hierarchy of Human Needs with their examples:
Physiologic needs
Breathing, circulation, nutrition
Safety needs
Security, stability
Love and belonging needs
Family, affection
Self-esteem needs
Achievement, confidence
Self-actualization needs
Morality, creativity
Which domain of patient outcomes describes increases in patient knowledge or intellectual behaviors?
Cognitive
Psychomotor
Affective
Discharge planning begins upon admission and involves using teaching and counseling skills to ensure the patient is prepared for self-care at home.
True
False
Fill in the blank: A well-written, measurable outcome contains five essential parts: Subject, Verb, Conditions, and _________?
Performance criteria
Objectives
Resources
Assessment tools
Which of the following is an example of a psychomotor outcome?
The patient demonstrates a new skill
The patient expresses a change in values
The patient increases knowledge about medication
Identify the correct order of the five levels of Maslow's Hierarchy of Human Needs from most basic to most advanced.
Physiological, Safety, Love/Belonging, Esteem, Self-actualization
Self-actualization, Esteem, Love/Belonging, Safety, Physiological
Esteem, Love/Belonging, Safety, Physiological, Self-actualization
Safety, Physiological, Esteem, Love/Belonging, Self-actualization
Fill in the blank: The nurse uses established frameworks to prioritize patient problems and determine which issues require ________ attention.
immediate
routine
delayed
occasional
Ongoing planning is only performed by the nurse who does the initial assessment.
True
False
Fill in the blank: ________ actions are autonomous actions based on scientific rationale that a nurse performs to benefit the patient.
Nurse-initiated
Physician-initiated
Collaborative
Patient-requested
Fill in the blank: Actions initiated by a physician in response to a medical diagnosis but carried out by a nurse under a doctor's orders are called ________.
Physician-initiated
Nurse-initiated
Collaborative interventions
Patient-directed
Fill in the blank: Treatments initiated by other providers (e.g., physical therapists, dietitians) and carried out by a nurse are called ________ interventions.
Collaborative
Independent
Dependent
Direct
Fill in the blank: A treatment performed through direct interaction with the patient, such as administering medication, providing wound care, or teaching a new skill, is called ________ care.
Direct Care
Indirect Care
Remote Care
Passive Care
Fill in the blank: A treatment performed away from the patient but on their behalf, such as consulting with other healthcare team members, managing the patient's environment, or documenting care, is called ________ care.
Indirect Care
Direct Care
Primary Care
Tertiary Care
Which of the following is NOT one of the Five Rights of Delegation in Nursing?
Right task
Right circumstances
Right medication
Right person
Right directions and communication
Fill in the blank: The Five Rights of Delegation include Right task, Right circumstances, Right person, Right directions and communication, and ________.
Right supervision and evaluation
Right documentation
Right medication
Right assessment
The right person in delegation means the delegatee has the right skills and competency.
True
False
Indirect care involves direct interaction with the patient.
True
False
Collaborative interventions are carried out by a nurse but initiated by other providers such as physical therapists or dietitians.
True
False
Which of the following is a common reason for patient noncompliance?
Lack of family support
High value attached to outcomes
Easy access to treatment
No adverse effects of treatment
Fill in the blank: One common reason for patient noncompliance is ________ about the benefits of treatment.
Lack of understanding
Excessive enthusiasm
Overconfidence
Complete agreement
Which of the following is NOT listed as a common reason for patient noncompliance?
A) Inability to afford treatment
B) Limited access to treatment
C) High value attached to outcomes
D) Adverse physical or emotional effects of treatment
Match the following outcome types with their evaluation method:
Asking the patient to repeat information
1-A
Asking the patient to demonstrate a new skill
2-B
Observing patient behavior and conversation
3-C
Using physical assessment skills to collect and compare data
4-D
Fill in the blank: The final, critical step of the nursing process is ________.
Evaluation
Assessment
Diagnosis
Planning
Which of the following is one of the Five Classic Elements of Evaluation?
Collecting data
Administering medication
Scheduling appointments
Providing transportation
Fill in the blank: Documenting judgment involves recording the outcome of the evaluation and the ________ evidence.
supporting
irrelevant
contradictory
missing
Interpreting and summarizing findings is NOT part of the Five Classic Elements of Evaluation.
True
False
Which element of evaluation involves making decisions about the future of the care plan based on findings?
Identifying evaluative criteria and standards
Terminating, continuing, or modifying the plan
Collecting data
Documenting judgment
Fill in the blank: Psychomotor outcomes are evaluated by asking the patient to ________ a new skill.
demonstrate
describe
memorize
discuss
Based on the evaluation, the nurse will decide to: Which of the above actions should a nurse take if the patient has not achieved the expected outcomes?
Terminate the care plan when each expected outcome is achieved.
Continue the care plan if more time is needed for the patient to achieve the outcomes.
Modify the care plan if there are difficulties in achieving the outcomes, requiring changes to the diagnosis, outcomes, or interventions.
Which variable may be affected if a nurse is suffering from burnout or lacking experience?
Patient
Nurse
Health care system
Girls require _______ to _______ calories per day, while boys need _______ to _______ calories, depending on activity level.
Girls: 1,200 to 1,800 calories; Boys: 1,200 to 2,000 calories
Girls: 1,000 to 1,500 calories; Boys: 1,500 to 2,500 calories
Girls: 1,500 to 2,000 calories; Boys: 2,000 to 2,500 calories
Girls: 1,200 to 2,000 calories; Boys: 1,800 to 2,400 calories
Childhood (Ages 4-8): Key nutritional concerns include malnutrition (especially iron, zinc, protein, and vitamin A deficiencies), food allergies (e.g., peanuts, milk, soy), and lead toxicity. Which of the following is NOT listed as a key nutritional concern for childhood?
Iron deficiency
Food allergies
Vitamin C deficiency
Lead toxicity
Puberty (Ages 9-13): This stage is marked by rapid growth spurts and the development of primary and secondary sex characteristics. True or False: Puberty is characterized by slow and steady growth.
True
False
Girls should consume _______ to _______ calories daily, and boys need _______ to _______ calories.
Girls: 1,400 to 2,200 calories; Boys: 1,600 to 2,600 calories
Girls: 1,200 to 1,800 calories; Boys: 1,400 to 2,000 calories
Girls: 1,800 to 2,400 calories; Boys: 2,000 to 2,800 calories
Girls: 1,000 to 1,600 calories; Boys: 1,200 to 2,000 calories
Puberty (Ages 9-13): Adequate intake of calcium is essential for building bone mass. Key vitamins needed include D, K, and B12. Which vitamin is NOT listed as essential for building bone mass during puberty?
Vitamin D
Vitamin K
Vitamin B12
Vitamin C
What are the physical changes that occur during older adolescence?
Rapid physical growth continues
Physical growth slows after puberty, with psychological and emotional changes
Metabolic rate increases
Bone mass decreases
Fill in the blank: Girls require _______ calories, and boys require _______ calories during older adolescence.
Girls require 1,800 to 2,400 calories, and boys require 2,000 to 3,200 calories.
Girls require 2,400 to 3,200 calories, and boys require 1,800 to 2,400 calories.
Girls require 1,200 to 1,800 calories, and boys require 1,800 to 2,400 calories.
Girls require 2,000 to 3,200 calories, and boys require 1,800 to 2,400 calories.
Which of the following is a major nutritional concern during older adolescence?
Risk of developing eating disorders like anorexia nervosa and bulimia nervosa
High risk of diabetes
Low iron intake only
Excessive protein consumption
What physical change is characteristic of young adulthood?
A) Physical growth is complete and all body systems are fully developed
B) Rapid bone growth
C) Decreased metabolic rate
D) Onset of menopause
Fill in the blank: Women require _______ calories, while men need _______ calories during young adulthood.
Women require 1,800 to 2,400 calories, while men need 2,400 to 3,000 calories.
Women require 2,400 to 3,000 calories, while men need 1,800 to 2,400 calories.
Women require 2,000 to 2,500 calories, while men need 2,500 to 3,200 calories.
Women require 1,500 to 2,000 calories, while men need 2,000 to 2,500 calories.
What is the main nutritional concern during young adulthood?
Preventing eating disorders
Maintaining health and normalizing bowel movements
Increasing calorie intake
Reducing protein consumption
What physical changes occur during middle age?
Signs of aging begin to appear, including perimenopause and menopause for women
Rapid physical growth
Increased metabolic rate
Onset of puberty
Fill in the blank: Women require _______ calories, and men need _______ calories during middle age.
Women require 1,800 to 2,200 calories, and men need 2,200 to 3,000 calories.
Women require 2,500 to 3,000 calories, and men need 1,800 to 2,200 calories.
Women require 1,200 to 1,500 calories, and men need 1,500 to 1,800 calories.
Women require 2,200 to 2,800 calories, and men need 3,000 to 3,500 calories.
What is emphasized in nutritional concerns during middle age?
Preventive nutrition and consuming foods high in antioxidants and omega-3 fatty acids
High protein intake
Low carbohydrate diet
Increased sugar consumption
What physical changes occur during older adulthood?
Lean body mass and metabolic rate decrease
Rapid bone growth
Increased calorie needs
Onset of puberty
Fill in the blank: Women require _______ calories, and men need _______ calories during older adulthood.
Women require 1,600 to 2,200 calories, and men need 2,000 to 2,800 calories.
Women require 2,400 to 2,800 calories, and men need 1,600 to 2,200 calories.
Women require 1,000 to 1,400 calories, and men need 1,600 to 2,000 calories.
Women require 2,000 to 2,800 calories, and men need 2,400 to 3,000 calories.
What are common nutritional concerns in older adulthood?
Sensory changes, dysphagia, anorexia of aging, and importance of fiber intake
High sugar intake
Increased protein needs
Rapid physical growth
Which of the following is NOT a characteristic of high-quality documentation?
Complete
Accurate
Confidential
Inconsistent with professional standards
Fill in the blank: High-quality documentation should be ________ and timely.
organized
lengthy
random
outdated
Documentation is the written or electronic legal record of all pertinent interactions with a patient.
True
False
Which of the following is a potential breach in patient confidentiality?
Displaying patient information on a public screen
Logging off a computer after documenting patient care
Shredding copies of patient information
Speaking privately about patients
Fill in the blank: All patient information is considered ________ and must be protected.
confidential
public
irrelevant
optional
Patients have the right to request a restriction on certain uses or disclosures of their health information.
True
False
Which of the following is NOT a patient right?
See and copy their health record
Update their health record
Discard copies of patient information
Get a list of disclosures made of their information
Fill in the blank: Protecting patient privacy is an active, ________ responsibility, not a passive one.
moment-to-moment
occasional
secondary
optional
Two ways breaches of patient confidentiality can occur are:
Discussing patient information in public and leaving records unsecured.
Properly storing patient records and using secure communication.
Only sharing information with authorized personnel and locking files.
Obtaining patient consent before sharing information and encrypting data.
Meticulous documentation creates a legal record and ensures continuity of care.
True
False
What is the purpose of a Change of Shift/Handoff Report in nursing communication?
To summarize a patient's condition and care provided during a shift, communicated to the oncoming nurse to ensure continuity.
To document medication errors for legal purposes.
To schedule patient appointments for the next week.
To record staff attendance during the shift.
