Test Bank Nursing Process Potter: Essentials for Nursing Practice, 8th Edition,100% CORRECT
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Nutrition 101
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Nutrition 101
Test Bank Nursing Process Potter: Essentials for Nursing Practice, 8th Edition
MULTIPLE CHOICE
1. A nurse is collecting data on a patient who is being admitted into hospice care. The nurse collects data from both the patient and the family so that a clear picture of the patient status is ob...
test bank nursing process potter essentials for nursing practice
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Test Bank Nursing Process Potter: Essentials for Nursing Practice, 8th
Edition
MULTIPLE CHOICE
1. A nurse is collecting data on a patient who is being admitted into hospice
care. The nurse collects data from both the patient and the family so that a
clear picture of the patient status is obtained. The nurse is currently involved
in which step of the nursing process?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosing
ANS: A
Assessment is the deliberate and systematic collection of data about a patient.
The data will reveal a patient’s current and past health status, functional status,
and present and past coping patterns. A nursing diagnosis is a clinical
judgment about individual, family, or community responses to actual and
potential health problems or life processes that the nurse is licensed and
competent to treat. Implementation is the performance of nursing interventions
necessary for achieving the goals and expected outcomes of nursing care.
Evaluation is crucial to deciding whether, after interventions have been
delivered, a patient’s condition or well-being improves.
PTS: 1 DIF: Cognitive Level: Applying
(Application) REF: 124 OBJ: Describe each step of
the nursing process.
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
2. The nurse is admitting a patient to the unit and asks the patient about the
health history. The nurse is engaged in which component of the nursing
process?
a. Evaluation
b. Diagnosis
c. Assessment
d. Planning
ANS: C
The nurse is in the assessment phase. An assessment database includes a
patient’s comprehensive health history, which includes information about a
patient’s physical and developmental status, emotional health, social practices
and resources, goals, values, lifestyle, and expectations about the health care
system. The database also includes physical examination findings and a
summary of results from laboratory and diagnostic testing. A nursing diagnosis
is a clinical judgment about individual, family, or community responses to
,actual and potential health problems or life processes that the nurse is licensed
and competent to treat. Evaluation is crucial to deciding whether, after
interventions have been delivered, a patient’s condition or well-being
improves. Planning involves setting priorities, identifying patient-centered
goals and expected outcomes, and prescribing nursing interventions.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 124 OBJ: Discuss approaches to data collection in nursing
assessment.
, TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
3. A postoperative patient is continuing to have incisional pain. As part of the
nurse’s assessment, the nurse notes that the patient is grimacing when he or
she changes position. The patient’s grimace can be useful in the assessment
and can be described as which of the following?
a. Cue
b. Inference
c. Diagnosis
d. Health pattern
ANS: A
Grimacing is a cue. A cue is information that a nurse obtains through use of
the senses. An inference is your judgment or interpretation of these cues.
Gordon’s functional health patterns are a type of database format to obtain a
comprehensive assessment. A nursing diagnosis is a clinical judgment about
individual, family, or community responses to actual and potential health
problems or life processes that the nurse is licensed and competent to treat.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 125 OBJ: Explain the type of conclusions that result from data
analysis. TOP: Nursing Process: Assessment MSC: NCLEX:
Management of Care
4. A postoperative patient has denied the need for pain medication. The nurse has
noted that the patient describes the pain as a “1” on a 0 to 10 scale. The nurse
also notes that the patient grimaces when he or she changes position and guards
the incision. The nurse believes that the patient is experiencing pain based on
the information gathered in the assessment. What is this phenomenon known
as?
a. Cue
b. Inference
c. Diagnosis
d. Health pattern
ANS: B
The nurse made a judgment, which is an inference, that the patient is
experiencing pain. An inference is a nurse’s judgment or interpretation of a
cue. A cue is information that you obtain through use of the senses. Gordon’s
functional health patterns are a type of database format to obtain a
comprehensive assessment. A nursing diagnosis is a clinical judgment about
individual, family, or community responses to actual and potential health
problems or life processes that the nurse is licensed and competent to treat such
as impaired tissue perfusion.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 125 OBJ: Explain the type of conclusions that result from data
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