Chapter 1: An Introduction to Evidence-Based Clinical Practice Guidelines MULTIPLE CHOICE • 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...
• Whichtaskisincludedintheassessmentstep ofthenursingprocess? v v
• Establishing patientgoals/outcomes v
• Implementingthenursing careplan(NCP) v
• Measuring goal/outcome achievement v v
• Collecting andcommunicatingdata v v
ANS:D v
Dataarecollectedand communicatedintheassessmentphaseofthe nursing v v v
vprocess.Establishinggoalsisthefunctionofplanning.
v v v v v v v
ImplementingtheNCPisthefunctionofimplementation. Measuringoutcome v v
achievementisthefunction ofevaluation.
v v v v v v
DIF:CognitiveLevel:Comprehension
REF:dm36OBJ:2|3TOP:Nursing
v v v v v v v v v
ProcessStep:Assessment
v v v
MSC:NCLEXClientNeedsCategory: HealthPromotion and Maintenance v v v v
• Whichstatement regarding nursing diagnosesisaccurate? v v v
• Nursingdiagnosesremainthesameforaslongasthediseaseispresent.
v
• Nursingdiagnosesarewrittentoidentifydiseasestates.
v
• Nursing diagnoses describepatientproblemsthat nurses treat.
v v v v
• Nursing diagnosesidentifycausesrelated toillness. v v
ANS:C v
Diagnosticstatements identifyproblemsanurseisindependentlyabletotreat v v
vwithinthescopeofprofessionalpractice.Nursingdiagnosesvarywiththe
v v v v v v v v v v
changing conditionofthepatient.Theresponsepatternsareuniquetothe patient
v v v v v v v v v v v v v
andarenotdiseasespecific.Nursingdiagnosesdescribethepatients human
v v v v v v v v v v v
responsepattern.
v v
DIF:CognitiveLevel:Comprehension
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