Fundamentals Test Bank final
A nurse is following the goals of healthy people 2020 to provide care. Which action should the
nurse take?
a. Crate social and physical environments that promote good health
b. Allow people to continue current behavior to reduce the stress of change.
c.Focus on illness treatment to provide fast recuperation
d. Focus only on health changes that will leas to better local communities. - ANS a. Create
social and physical environments that promote good health
1- A nurse is teaching about the goals of healthy people 2020. Which information should the
nurse include in the teaching session?
a. Eliminate health life in America
b. Eliminate health behavior in America
c. Eliminate health disparities in America
d. Eliminate quality of life in America - ANS c. Eliminate health disparities in America
1- In which order will the nurse use the nursing process steps during the clinical
decision-making
process?
1. Evaluating goals
2. Assessing patient needs
3. Planning priorities of care
4. Determining nursing diagnoses
5. Implementing nursing interventions
a. 2, 4, 3, 5, 1
b. 4, 3, 2, 1, 5
c. 1, 2, 4, 5, 3
d. 5, 1, 2, 3, 4 - ANS a. 2, 4, 3, 5, 1
2. Assessing patient needs
4. Determining nursing diagnoses
3. Planning priorities of care
5. Implementing nursing interventions
1. Evaluating goals
The nurse is using critical thinking skills during the first phase of the nursing process. Which
action indicates the nurse is in the first phase?
a. Completes a comprehensive database.
b. Identifies pertinent nursing diagnoses.
,c. Intervenes based on priorities of patient care.
d. Determines whether outcomes have been achieved. - ANS a. Completes a comprehensive
database.
Assessment: data
A nurse is using a critical thinking model to provide care. Which component is first that helps a
nurses make clinical decisions?
a.Attitude
b.Experience
c.Nursing process
d.Specific knowledge base - ANS c. Nursing process
Which method of data collection will the nurse use to establish a patient's database?
a. Reviewing the current literature to determine evidence-based nursing actions
b. Checking orders for diagnostic and laboratory tests
c. Performing a physical examination
d. Ordering medications - ANS c. Performing a physical examination
The nurse is reviewing a patient's database for significant changes and discovers that the
patient has not voided in over 8 hours. The patient's kidney function lab results are abnormal,
and the patient's oral intake has significantly decreased since previous shifts. Which step of the
nursing process should the nurse proceed to after this review?
a.Diagnosis
b.Planning
c.Implementation
d.Evaluation - ANS a.Diagnosis
The nurse completes a thorough assessment of a patient and analyzes the data to identify
nursing diagnoses. Which step will the nurse take next in the nursing process?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation - ANS c. Planning
A nurse is providing nursing care to patients after completing a care plan from nursing
diagnoses. In which step of the nursing process is the nurse?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation - ANS Implementation
,Which action should the nurse take first during the initial phase of implementation?
a. Determine patient outcomes and goals.
b. Prioritize patient's nursing diagnoses.
c. Evaluate interventions.
d. Reassess the patient. - ANS d. Reassess the patient.
A nurse determines that the patient's condition has improved and has met expected outcomes.
Which step of the nursing process is the nurse exhibiting?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation - ANS d. Evaluation
A nurse completes a thorough database and carries out nursing interventions based on priority
diagnoses. Which action will the nurse take next?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation - ANS d. Evaluation
Which nursing actions will the nurse perform in the evaluation phase of the nursing process?
(Select all that apply.)
a. Set priorities for patient care.
b. Determine whether outcomes or standards are met.
c. Ambulate patient 25 feet in the hallway.
d. Document results of goal achievement.
e. Use self-reflection and correct errors. - ANS b. Determine whether outcomes or standards are
met.
d. Document results of goal achievement.
e. Use self-reflection and correct errors.
Which action indicates the nurse is using the nursing process in patient care?
a. Generates nursing knowledge for use in nursing practice.
b. Conceptualizes an aspect of nursing to predict nursing care.
c. Develops nursing care as a specific, distinct phenomenon.
d. Delivers nursing care using a systematic approach. - ANS d. Delivers nursing care using a
systematic approach.
, A staff member verbalizes satisfaction in working on a particular nursing unit because of the
freedom of choice and responsibility for the choices. This nurse highly values which element
of shared decision making?
a. Authority
b. Autonomy
c. Responsibility
d. Accountability - ANS b. Autonomy
A staff nurse delegates a task to a nursing assistive personnel (NAP), knowing that the NAP has
never performed the task before. As a result, the patient is injured, and the nurse defensively
states that the NAP should have known how to perform such a simple task. Which element of
the decision-making process is the nurse lacking?
a. Authority
b. Autonomy
c. Responsibility
d. Accountability - ANS d. Accountability
A nurse uses the five rights of delegation when providing care. Which "rights" did the nurse use?
(Select all that apply.)
a. Right task
b. Right person
c. Right direction
d. Right supervision
e. Right circumstances
f. Right cost-effectiveness - ANS a. Right task
b. Right person
c. Right direction
d. Right supervision
e. Right circumstances
The nurse asks a patient where their pain is located, and the patient responds by pointing to the
area of pain. Which form of communication did the patient use?
a. Intonation
b. Nonverbal
c. Verbal
d. Vocabulary - ANS b. Nonverbal
A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates
empathy?
a. "I believe you can overcome this because I've seen how strong you are".
b. "Tomorrow will be better."
c. "This must be hard news to hear."
d. "What's your biggest fear about this diagnosis?" - ANS c. "This must be hard news to hear."