chapter 4 Nursing Process and Critical Thinking My Nursing Test Banks

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The nurse who uses the nursing process will
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approach the patients disorder in a step-by-step method.
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A nurse will arrive at a nursing diagnosis through the nursing process step of
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assessment.
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In the collaborative process of delivering care based on the nursing process, the responsibility of the LPN/LVN is to
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collect data of health status.
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The participants of the planning stage of the nursing process during which the health goals are defined include the
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health team, the patient, and the patients family.
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When a resident in the nursing home complains of constipation, the nurse performs a digital rectal examination and finds a hard fecal mass. This is an example of
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assessment.
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The nurse completing morning assessments on a patient who is sitting up in bed is told by the patient, Im having trouble breathing I can’t seem to get enough air. The best nursing response is to
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finish the vital signs for the assigned patients, and then notify the charge nurse.
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The order in which the nursing process is approached is
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assessment, nursing diagnosis, planning, implementation, evaluation.
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Once the nursing plan has been initiated, the nursing care plan will
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change as the patient’s condition changes.
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When a patient states, I can’t walk very well, the first problem-solving step would be to
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find out what the problem is, such as weakness or poor balance.
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A student nurse can begin to develop critical thinking skills by means of
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listening attentively and focusing on the speakers words and meaning.
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When a nurse prioritizes the patient care, consideration is given to
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considering situations that may result in an alteration of health.
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When the nurse checks to see whether a patient has had relief 45 minutes after administering pain medication, the nurse is performing a(n)
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evaluation.
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The activity that is implementation in nursing care is
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changing the patient’s surgical dressing.
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Constant nursing assessments and evaluations of the patient will most likely result in
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the nursing care plan changing to reflect appropriate priorities.
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The effect of using a scientific problem-solving approach in nursing care will cause decision making to be
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improved nursing care outcomes.
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An emergency room nurse will give first priority to the patient with the most critical need, which is the patient who
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complains of severe chest pain.
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When the nurse constructs a nursing approach after careful judgment and sound reasoning, the nurse has used a system of __________.
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critical thinking
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Critical thinking is considered to be the keystone and foundation of the development of _________.
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clinical judgment
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The tasks of synthesizing data and linking nursing interventions with patient health problems are enhanced by the process of ________.
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concept mapping
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Activities considered to be aspects of the implementation step of the nursing process are: (Select all that apply.)
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A. documentation of care given. B. assembly of supplies.
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Descriptions of the activities involved in the nursing diagnosis step of the nursing process are: (Select all that apply.)
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A. determination of potential health problems. B. clustering of related assessments.
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Which of the following items could be the responsibility of the LPN/LVN for a patient’s plan of care? (Select all that apply.)
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A. Collect data. B. Perform nursing interventions. C. Document nursing care.
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A nurse begins rounds on a medical surgical nursing unit. Review the following patients on her assignment. Prioritize the order in which the patients should be assessed, based on their descriptions. (Separate letters with a comma and space as follows: A, B, C, D.) A. A 22-year-old patient who is awakening from neck surgery. B. An 82-year-old patient who is blind and needs discharge instructions. C. A 44-year-old patient with dehydration from vomiting and diarrhea, who was admitted 3 days ago and who has an IV infusion of fluids. D. A 35-year-old patient admitted for an injury to his left femoral artery, which required surgical repair 8 hours ago following an ice-skating accident.
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A, D, C, B
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Place the steps of the problem-solving approach in the appropriate order. (Separate letters with a comma and space as follows: A, B, C, D, E.) A. Predict the likelihood of each outcome occurring. B. Choose the alternative with the best chance of success. C. Consider all possible alternatives as the solution to the problem. D. Identify the problem. E. Examine possible outcomes of each alternative.
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D, C, E, A, B

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