1. The jnursing jprocess jis ja jfive-step jdecision-making japproach jthat jincludes jall jof jthe
jfollowing jsteps, jEXCEPT:
a. Assessment
b. Patient jproblem
c. Planning
d. Right jDrug
ANS: j D
The jnursing jprocess jis ja jfive-step jdecision-making japproach jthat jincludes: j1) jassessment,
j2) jpatient jproblem, j3) jplanning, j4) jimplementation, jand j5) jevaluation. j―Right jdrug‖ jis jone
jof jthe j―Six jRights‖ jof jmedication jadministration.
5. Which jassessment jis jcategorized jas jobjective jdata?
a. A jlist jof jherbal jsupplements jregularly jused
b. Lab jvalues jassociated jwith jthe jdrugs jthe jpatient jis jtaking
c. The jages jand jrelationship jto jthe jpatient jof jall jhousehold jmembers
d. Usual jdietary jpatterns jand jfNo o d jintake
ANS: j B
Objective jdata jare jmeasured jand jdetected jby janother jperson jand jwould jinclude jlab
jvalues. jThe jother jexamples jare jsubjective jdata.
6. The jnurse jreviews ja jpatient‘s jdatabase jand jlearns jthat jthe jpatient jlives jalone, jis jforgetful,
jand jdoes jnot jhave jan jestablished jroutine. jThe jpatient jwill jbe jsent jhome jwith jthree jnew
jmedications jto jbe jtaken jat jdifferent jtimes jof jthe jday. jThe jnurse jdevelops ja jdaily
jmedication jchart jand jenlists ja jfamily jmember jto jput jthe jpatient‘s jpills jin ja jpill jorganizer.
jThis jis jan jexample jof jwhich jphase jof jthe jnursing jprocess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: j C
The jimplementation jphase jinvolves jeducation jand jpatient jcare jin jorder jto jassist jthe jpatient jto
jaccomplish jthe jgoals jof jtreatment.
9. The jnurse jis jdeveloping ja jplan jof jcare jfor ja jpatient jwho jhas jchronic jlung jdisease jand jhypoxia.
The jpatient jhas jbeen jadmitted jfor jincreased joxygen jneeds jabove ja jbaseline jof j2 jL/min. jThe
nurse jdevelops ja jgoal jstating, j―The jpatient jwill jhave joxygen jsaturations jof j>95% jon jroom jair
at jthe jtime jof jdischarge jfrom jthe jhospital.‖ jWhat jis jwrong jwith jthis jgoal?
a. It jcannot jbe jevaluated.
b. It jis jnot jmeasurable.
c. It jis jnot jpatient-centered.
d. It jis jnot jrealistic.
ANS: j D
This jgoal jis jnot jrealistic jbecause jthe jpatient jis jnot jusually jon jroom jair jand jshould jnot jbe
jexpected jto jattain jthat jgoal jby jdischarge jfrom jthis jhospitalization.
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