Exam (elaborations)
Chapter 05 Introduction to the Nursing Process
- Course
- Fundamentals of Nursing
- Institution
- Oxford College Of Emory University
Chapter 05 Introduction to the Nursing Process
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DAWITChapter 05: Introduction to the Nursing Process
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3RD Edition
MULTIPLE CHOICE
1. The nurse identifies the nursing process as the foundation of professional nursing practice and
can define it in which appropriate terms?
a. The framework that nurses use to provide care.
b. A complex process during which nurses think about their thinking.
c. The process that allows nurses to collect essential data.
d. Thinking like a nurse in developing plans of care.
ANS: A
The nursing process is the foundation of professional nursing practice. It is the framework
within which nurses provide care to patients in an organized and effective manner. Paul
describes critical thinking as a complex process during which individuals think about their
thinking to provide clarity and increase precision and relevance in a specific situation while
attempting to be fair and consistent. Critical thinking using the nursing process allows nurses
to collect essential patient data, articulate the specific needs of individual patients, and
effectively communicate those needs, realistic goals, and customized interventions with
members of the health care team. Thinking like a nurse is facilitated by nurses using the
nursing process in the development of individualized patient plans of care.
DIF: Remembering OBJ: 5.1 TOP: Assessment
MSC: NCLEX Client Needs CN ategR
ory:I
SafeGanB.fC
dE fectiM
ve Care Environment: Management of Care
NOT: Concepts: Care CoordinatiU
on S N T O
2. The term nursing process was first used in 1955. In 1973, the American Nurses Association
identified five specific steps of the process. The nurse knows which essential step was added
in 1991?
a. Assessment
b. Diagnosis
c. Outcome identification
d. Evaluation
ANS: C
The term nursing process was first used by Lydia Hall in 1955. In 1973, the American Nurses
Association (ANA) identified five specific steps of the nursing process in its Standards of
Clinical Practice (1991). These five steps—assessment, diagnosis, planning, implementation,
and evaluation—define how professional nursing practice is conducted. Outcome
identification was added as an essential aspect of the nursing process by the ANA in 1991.
Most nursing professionals and educators recognize outcome identification as part of the
planning step of the traditional five-step nursing process.
DIF: Remembering OBJ: 5.2 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
NOT: Concepts: Care Coordination
, DAWIT
3. Since the nursing process is cyclic rather than linear, the nurse knows that as an individual
patient‘s condition changes the nurse should anticipate what concept?
a. The nurse‘s thought processes do not have to vary.
b. Plans of care are easier to use and do not need modification.
c. The accuracy and effectiveness of thought processes must be considered.
d. Reflective thought is not necessary since issues tend to be repetitive.
ANS: C
The nursing process is cyclic rather than linear. As an individual patient‘s condition changes,
so does the way a professional nurse thinks about that patient‘s needs, forcing modification of
earlier plans of care. At each step of the nursing process, nurses must consider the accuracy
and effectiveness of their thought process. This form of reflective thought is an essential
aspect of critical thinking. The evolutionary nature of the nursing process allows nurses to
adjust to changing patient needs. Plans of care must evolve as patients‘ needs change.
DIF: Understanding OBJ: 5.3 TOP: Planning
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
NOT: Concepts: Care Coordination
4. The charge nurse is discussing a patient‘s care plan during a team meeting. The team
determines that the patient has not met the goal of ―ambulating to the nurse‘s station twice a
day‖ and decides to revise the plan. The nurse recognizes which characteristic of the nursing
process most represents this decision?
a. Organization
b. Dynamics
c. Adaptability
d. Outcome orientation
NURSINGTB.COM
ANS: D
Patient care plans are developed to meet each patient‘s goals, not the goals of standardized
patients or members of the health care team, including the nurse. Decisions regarding which
nursing interventions and medical treatments to implement are made on the basis of safety and
their effectiveness in meeting a patient‘s identified needs and desired outcomes. The dynamic,
responsive nature of the nursing process allows it to be used effectively with patients in any
setting and at every level of care. The plan of care is individualized for the patient on the basis
of assessment findings, changing needs, setting, and timing of interaction, not just outcomes.
Following the steps of the nursing process ensures that patient care is well organized and
thorough. The nursing process is adaptable for developing plans of care for individuals who
are hospitalized or are receiving care in an outpatient, long-term care, or home setting. It is an
equally useful method for addressing the needs of a specific population.
DIF: Understanding OBJ: 5.3 TOP: Planning
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
NOT: Concepts: Care Coordination
5. The nurse is caring for a patient who will be discharged home following surgical repair of a
broken shoulder. The patient tells the nurse, ―I don‘t have anyone at home who can help me
cook my meals. Is there something you can do?‖ When demonstrating the adaptability of the
nursing process, the nurse should carry out which task?
a. Adjust the patient‘s care plan so that nursing goals can be met.
b. Consult the care provider about extending the patient‘s hospitalization.
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