Question

SECTION 3: GETTING READY FOR NCLEX Activity J Anrwer th following questions marking the best response l. As the nurse educator teaches a group of new stadents 6. The nurse arrives on the unit, gets report, and ente the client's room. What is the first step in the nurs process that the nurse will use? 1. Planning about the nursing process, which of the following is the best explanation for its purpose? I. It helps to s y plan and implement care to meet a client's desired outcomes. 2. It allows the nurse to follow steps to ensure consistency of care among professionals 3. It provides a language that only nurses can understand 7. A nurse educator is teaching a group of students a that facilitates client safety the steps in concept care mapping. What is the fir step in this process? 1. Diagnosis 2. Planning 4. It represents a step-by-step process that anyone can follow regardless of education. 2. There are five steps to the nursing process. When Nurse A begins with setting priorities, defining expect ed outcomes, and determining interventions, which step 4. Evaluation is being peformed? 8. A nurse, implements the nursing care plan for a cl but fails to document in the medical record the int ventions and the response to these interventions. 1 1. Assessment 2. Diagnosis 3. Planning of documentat that come from accurate and thorough documenta include which of the following? Select all that app 1. Creates a legal document 2. Communicates care 3. Supplies validation for reimbursement 4. Substantiates the care provided by ancillary stat 4. Implementation 3. The nurse has developed a nursing diagnosis with a client who has determined that she wants to learn more about diet and exercise. What type of nursing diagnosis reflects the motivation by a client to increase well- being? 1. Actual nursing diagnoses 9. A nurse's expected outcome for a client who is pos 2. Risk nursing diagnoses partum includes a goal of minimal pain of 3 on a s of 1 to 10 by the end of the 7 AM to 3 PM shift. The ent has taken Motrin every 4 hours as ordered: at 8 (pain level of 6 and 30 minutes later pain level of 2 well as at 12 noon (pain level of 5 and 30 minutes pain level of 2). Which part of the nursing process nurse using when analyzing the data? 1. Assessment 2. Evaluation 3. Syndrome diagnoses 4. Health promotion nursing diagnoses 4. Client A has been admitted to the hospital with severe internal bleeding following a motor vehicle accident and the loss of two of his family members. According to Maslow, which of the following needs (level) is the highest priority for the nurse when caring for a client? 1. Love and belonging needs 2. Self-actualization needs 3. Esteem and self-esteem needs 4. Physiologic needs 4. Diagnosis 10. The following is a nursing diagnostic statement: Ac 5. Due to prior demonstration of critical thinking skills, the Pain related to tissue trauma secondary to total knee nurse manager puts a veteran nurse in charge. Critical thinking is outlined in the text as which of the following? I. Structured, biased, and logical thinking replacement as evidenced by verbalization of pain o scale of 1 to 10, restlessness, and inability to concer What part of this nursing diagnosis is the name or la 1. Related to tissue trauma secondary to total kne 2. Intentional, contemplative, and outcome-directed thinking TC 2. As evidenced by verbalization of pain of 8 on 3. Broad, scientiic, and one-directional thinking 4. Outcome-directed, broad, and biased thinking of 1 to 10 3. Acute Pain 4. Inability to concentrate

Answer 1

1 .1,It is a patient-centered framework and helps the nurse to solve problems through critical thinking skills.

2.3,It is a critical step in nursing process as it helps in determining the course of treatment.

3.4,it is meant to increase the well-being and to actiualize human health potential.

4.4 One of the foundation of Maslow Hierarchy and include the basic needs for survival.

5.1

6.3 it is the first step in delivering nursing care and includes physiological data,psychological,sociocultural,spiritual,economic and lifestyle factors.

7.1,Diagnosis reflects the nurses clinical judgement about the clients response to actual or potential health conditions.

8.1,2,3

9.2

10.3