1. Once a nurse assesses a client’s condition and identifies appropriate nursing diagnoses, a:
A. Plan is developed for nursing care.
B. Physical assessment begins
C. List of priorities is determined.
D. Review of the assessment is conducted with other team members.
2. Planning is a category...
Name: DEVINE BAGARES
Year /Section: BSN 2-8
1. Once a nurse assesses a client’s condition and identifies appropriate nursing diagnoses, a:
A. Plan is developed for nursing care.
B. Physical assessment begins
C. List of priorities is determined.
D. Review of the assessment is conducted with other team members.
2. Planning is a category of nursing behaviors in which:
A. The nurse determines the health care needed for the client.
B. The Physician determines the plan of care for the client.
C. Client-centered goals and expected outcomes are established.
D. The client determines the care needed.
3. Priorities are established to help the nurse anticipate and sequence nursing interventions
when a client has multiple problems or alterations. Priorities are determined by the client’s:
A. Physician
B. Non Emergent, non-life threatening needs
C. Future well-being.
D. Urgency of problems
4. A client centered goal is a specific and measurable behavior or response that reflects a
client’s:
A. Desire for specific health care interventions
B. Highest possible level of wellness and independence in function.
C. Physician’s goal for the specific client.
D. Response when compared to another client with a like problem.
5. For clients to participate in goal setting, they should be:
A. Alert and have some degree of independence.
B. Ambulatory and mobile.
C. Able to speak and write.
D. Able to read and write.
6. The nurse writes an expected outcome statement in measurable terms. An example is:
A. Client will have less pain.
B. Client will be pain free.
C. Client will report pain acuity less than 4 on a scale of 0-10.
D. Client will take pain medication every 4 hours around the clock.
7. As goals, outcomes, and interventions are developed, the nurse must:
A. Be in charge of all care and planning for the client.
B. Be aware of and committed to accepted standards of practice from nursing and other
disciples.
C. Not change the plan of care for the client.
D. Be in control of all interventions for the client.
8. When establishing realistic goals, the nurse:
A. Bases the goals on the nurse’s personal knowledge.
B. Knows the resources of the health care facility, family, and the client.
C. Must have a client who is physically and emotionally stable.
, D. Must have the client’s cooperation.
9. To initiate an intervention the nurse must be competent in three areas, which include:
A. Knowledge, function, and specific skills
B. Experience, advanced education, and skills.
C. Skills, finances, and leadership.
D. Leadership, autonomy, and skills.
10. Collaborative interventions are therapies that require:
A. Physician and nurse interventions.
B. Nurse and client interventions.
C. Client and Physician intervention.
D. Multiple health care professionals.
11. Well formulated, client-centered goals should:
A. Meet immediate client needs.
B. Include preventative health care.
C. Include rehabilitation needs.
D. All of the above.
12. The following statement appears on the nursing care plan for an immunosuppressed client:
The client will remain free from infection throughout hospitalization. This statement is an
example of a (an):
A. Nursing diagnosis
B. Short-term goal
C. Long-term goal
D. Expected outcome
13. The following statements appear on a nursing care plan for a client after a mastectomy:
Incision site approximated; absence of drainage or prolonged erythema at incision site; and
client remains afebrile. These statements are examples of:
A. Nursing interventions
B. Short-term goals
C. Long-term goals
D. Expected outcomes.
14. The planning step of the nursing process includes which of the following activities?
A. Assessing and diagnosing
B. Evaluating goal achievement.
C. Performing nursing actions and documenting them.
D. Setting goals and selecting interventions.
15. The nursing care plan is:
A. A written guideline for implementation and evaluation.
B. A documentation of client care.
C. A projection of potential alterations in client behaviors
D. A tool to set goals and project outcomes.
16. After determining a nursing diagnosis of acute pain, the nurse develops the following
appropriate client-centered goal:
A. Encourage client to implement guided imagery when pain begins.
B. Determine effect of pain intensity on client function.
Les avantages d'acheter des résumés chez Stuvia:
Qualité garantie par les avis des clients
Les clients de Stuvia ont évalués plus de 700 000 résumés. C'est comme ça que vous savez que vous achetez les meilleurs documents.
L’achat facile et rapide
Vous pouvez payer rapidement avec iDeal, carte de crédit ou Stuvia-crédit pour les résumés. Il n'y a pas d'adhésion nécessaire.
Focus sur l’essentiel
Vos camarades écrivent eux-mêmes les notes d’étude, c’est pourquoi les documents sont toujours fiables et à jour. Cela garantit que vous arrivez rapidement au coeur du matériel.
Foire aux questions
Qu'est-ce que j'obtiens en achetant ce document ?
Vous obtenez un PDF, disponible immédiatement après votre achat. Le document acheté est accessible à tout moment, n'importe où et indéfiniment via votre profil.
Garantie de remboursement : comment ça marche ?
Notre garantie de satisfaction garantit que vous trouverez toujours un document d'étude qui vous convient. Vous remplissez un formulaire et notre équipe du service client s'occupe du reste.
Auprès de qui est-ce que j'achète ce résumé ?
Stuvia est une place de marché. Alors, vous n'achetez donc pas ce document chez nous, mais auprès du vendeur Academik001. Stuvia facilite les paiements au vendeur.
Est-ce que j'aurai un abonnement?
Non, vous n'achetez ce résumé que pour €7,68. Vous n'êtes lié à rien après votre achat.
