Question 1

A student nurse demonstrates understanding of outcome statements by saying which of the following?

Accepted Answer

The answer of A student nurse demonstrates understanding of outcome...

Question 2

A student nurse may be required to prepare for clinical experiences by completing a portion of a care plan form before actually caring for a patient. Place the following student care plan preparation steps in the correct order (Enter using the following format: 1, 2, 3, 4).
1. Expected outcomes
2. Research
3. Develop interventions
4. Possible nursing diagnoses

Accepted Answer

The answer of A student nurse may be required to...

Question 3

A nursing instructor is teaching students the importance of individualized nursing interventions. The instructor recognizes that a student nurse understands when he or she

Accepted Answer

Asking a patient which type of fluid he or she would like to drink is an example of individualizing nursing interventions, as it takes into account the patient's preferences and choices, making the care more personalized.

Question 4

After increasing fluid intake and administering stool softeners for a patient complaining of constipation, a nurse calls the physician to obtain an order to administer an enema. This is an example of a(n)

Accepted Answer

A dependent intervention is one that requires an order from a physician or other authorized healthcare provider. In this case, the nurse is calling the physician to obtain an order for an enema, making it a dependent intervention. The other options are not applicable since this intervention requires a physician's authorization.

Question 5

A care plan is often used as a basis for documentation. The type of plan that contains areas for respiratory therapists, social services workers, physical therapists, and dietitians to document their plans and the patient's response is called a

Accepted Answer

A multidisciplinary care plan allows for multiple healthcare professionals to document their plans and interventions for a patient, promoting coordinated and comprehensive care.

Question 6

The nurse understands that when the nursing diagnosis is one that expresses the risk for a problem, a possible problem, or certain actual problems, the ____________________ statement, referred to as a PE statement, is used.

Accepted Answer

The answer of The nurse understands that when the nursing...

Question 7

The nurse recognizes that a(n) ____________________ can be used to diagram and connect data about any subject. It can help the nurse see relationships between nursing diagnoses and assessment data, and help him or her make connections between interventions and diagnoses.

Accepted Answer

The answer of The nurse recognizes that a(n) ____________________ can...

Question 8

Nurses who use critical thinking avoid jumping to conclusions about patients or patient care, and they also avoid making decisions based on assumptions. They ____________________, or ensure the correctness of, any information they obtain.

Accepted Answer

The answer of Nurses who use critical thinking avoid jumping...

Question 9

One of the initial steps of a nursing ____________________ is a nurse introducing himself or herself to the patient if he or she has not previously done so. The nurse includes his or her name and title, as in, "I'm Jane Johnson, a student nurse."

Accepted Answer

The answer of One of the initial steps of a...

Question 10

Examples of indirect patient care include which of the following? A!. Bathing a patient

Accepted Answer

Documenting a patient's bath and informing the physician about a patient's pain are examples of indirect patient care as they involve activities that support patient care but do not involve direct interaction with the patient.

Question 11

A standardized ____________________ is a preprinted document with typical nursing diagnoses and corresponding nursing intervention choices to coordinate with a particular medical diagnosis.

Accepted Answer

The answer of A standardized ____________________ is a preprinted document...

Question 12

A nursing instructor explains to students that the ____________________ list contains nursing diagnoses that are standardized and arranged with the primary topic first, followed by modifiers.

Accepted Answer

The answer of A nursing instructor explains to students that...

Question 13

Once a student nurse has completed the preparation steps of his or her student care plan, he or she will be ready for the actual clinical experience. Place the following steps for caring for a patient during a clinical experience in the correct order (Use the following format: 1, 2, 3, 4).
1. Evaluate care plan.
2. Implement interventions.
3. Evaluate nursing diagnoses.
4. Meet and assess the patient.

Accepted Answer

The answer of Once a student nurse has completed the...

Question 14

A(n) ____________________ goal is not expected to be met before a patient is discharged from the hospital. It may be an ongoing process of improvement or a gradual change in circumstances.

Accepted Answer

The answer of A(n) ____________________ goal is not expected to...

Question 15

A nursing instructor is explaining the initial steps of most nursing interventions. The instructor recognizes that additional explanation is required when a student nurse states:

Accepted Answer

The statement "You should always carry out the physician's order as quickly as possible without question" is incorrect as it is important for nurses to question and clarify orders that may be unclear or potentially harmful to the patient. It is important for the nurse to use critical thinking skills and consider the patient's condition before carrying out any intervention.

Question 16

Before the implementation of any ____________________, a nurse must be sure that he or she knows how to perform it. A nurse must always follow facility policy and practice within the scope established by the state's Nurse Practice Act.

Accepted Answer

The answer of Before the implementation of any ____________________, a...

Question 17

When a nurse enters a patient's room or area to perform a nursing interview, he first establishes ____________________, creating a relationship of mutual trust and understanding. The nurse does this by introducing himself and explaining his role in the patient's care.

Accepted Answer

The answer of When a nurse enters a patient's room...

Question 18

A nurse assesses a patient's urine and notices that it is dark yellow, concentrated, and lower in volume than normal. The nurse decides to put the patient on intake and output measurement because the patient has a risk for imbalanced fluid volume. This is an example of a(n)

Accepted Answer

The nurse's decision to measure the patient's intake and output is an independent intervention because the nurse is using their own judgment and knowledge to take action without input from another healthcare provider. This intervention is being implemented to prevent imbalanced fluid volume, which is within the scope of the nurse's practice.

Quiz 4: The Nursing Process and Decision Making