1. What is the primary purpose of the nursing assessment?
a. Identifying underlying pathologic conditions
b. Assisting the physician in identifying medical conditions
c. Determining the patients mental status
d. Exploring patient responses to health problems
ANS D
A nursing assessment is done to identify the patients response to health problems. During the
nursing assessment phase, a comprehensive information base is developed through a physical
examination, nursing history, medication history, and professional observation. Identifying
underlying pathologic conditions and assisting the physician in identifying medical conditions
is not part of the nursing process. Determining the patients mental status is one part of the
nursing assessment, but it is not the primary purpose.
MSC NCLEX Client Needs Category Health Promotion and Maintenance
2. What is the basis of the NANDA I taxonomy?
a. Functional health patterns
b. Human response patterns
c. Basic human needs
d. Pathophysiologic needs
ANS B
Page 1 of 17
,The NANDA I taxonomy identifies human response patterns. Functional components of health
patterns are limited to activity, fluid volume, nutrition, self care, and sensory perception. Basic
human needs comprise less than merely health patterns. Pathophysiologic needs are not part of
the scope of NANDA I.
DIF Cognitive Level Knowledge REF pp. 37-38 OBJ 5 TOP
3. Which task is included in the assessment step of the nursing process?
a. Establishing patient goals/outcomes
b. Implementing the nursing care plan (NCP)
c. Measuring goal/outcome achievement
d. Collecting and communicating data
ANS D
Data are collected and communicated in the assessment phase of the nursing process.
Establishing goals is the function of planning. Implementing the NCP is the function
of implementation. Measuring outcome achievement is the function of evaluation.
MSC NCLEX Client Needs Category Health Promotion and Maintenance
4. Which statement regarding nursing diagnoses is accurate?
a. Nursing diagnoses remain the same for as long as the disease is present.
b. Nursing diagnoses are written to identify disease states.
c. Nursing diagnoses describe patient problems that nurses treat.
Page 2 of 17
, d. Nursing diagnoses identify causes related to illness.
ANS C
Diagnostic statements identify problems a nurse is independently able to treat within the scope
of professional practice. Nursing diagnoses vary with the changing condition of the patient. The
response patterns are unique to the patient and are not disease specific. Nursing diagnoses
describe the patients human response pattern.
DIF Cognitive Level Comprehension REF pp. 37-38 OBJ 5
5. What do the classification systems NIC and NOC provide?
a. Individualized data banks of treatments related to disease processes
b. Standardized language for reporting and analyzing nursing care delivery
c. A measure for cost containment within medical institutions
d. Specialized interventions for rare diseases
ANS B
Nursing classification systems such as NIC and NOC are designed to provide a standardized
language for reporting and analyzing nursing care delivery that is individualized for each
patient. Standardized terminology assists practitioners in the implementation of the five phases
of the nursing process. Classification systems are not related to disease process and are not
used for financial purposes. Classification systems include interventions for all health
conditions.
DIF Cognitive Level Knowledge REF dm. 34 OBJ 11
TOP Nursing Process Step Implementation
MSC NCLEX Client Needs Category Safe, Effective Care Environment
Page 3 of 17
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Sirih. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $5.49. You're not tied to anything after your purchase.