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  • Review of Nursing Process

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    Regie de Jesus
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    The document reviews key aspects of the nursing process. 1) The assessment phase involves collecting, validating, organizing and recording patient health data. 2) An example of a nursing diagnosis is "High Risk for falls related to weakness, disorientation and faulty judgment," which identifies risks. 3) Priorities during outcome identification include unstable patients and addressing physiological needs before psychosocial needs.

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    Short item quiz

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    The document reviews key aspects of the nursing process. 1) The assessment phase involves collecting, validating, organizing and recording patient health data. 2) An example of a nursing diagnosis is "High Risk for falls related to weakness, disorientation and faulty judgment," which identifies risks. 3) Priorities during outcome identification include unstable patients and addressing physiological needs before psychosocial needs.

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    Attribution Non-Commercial (BY-NC)
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    Download as ppt, pdf, or txt
    2K views11 pages

    Review of Nursing Process

    Uploaded by

    Regie de Jesus
    The document reviews key aspects of the nursing process. 1) The assessment phase involves collecting, validating, organizing and recording patient health data. 2) An example of a nursing diagnosis is "High Risk for falls related to weakness, disorientation and faulty judgment," which identifies risks. 3) Priorities during outcome identification include unstable patients and addressing physiological needs before psychosocial needs.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    of 11

    Review of Nursing Process

    1. The phase of nursing process that involves collecting, validating, organizing and recording data about the patients health status is A. Assessment B. Diagnosing C. Implementation D. Evaluation

    2. On reviewing the patients care plan, the notation: High Risk for falls related to weakness, disorientation and faulty judgment, is an example of: A. Outcome Identification B. Nursing Diagnosis C. Assessment D. Evaluation

    3. Which of the following nursing dianoses is correct? A. High Risk for falls related to absence of side rails B. Ineffective airway clearance related to myasthenia gravis C. Disturbed Sleeping pattern related to persistent coughing during the night D. Self-care deficit and anxiety related to severe joint pain

    4. During assessment for a patients skin integrity, which of the following data pertain to skin integrity? Select all that apply. A. Urinary & Bowel Incontinence B. Overestimates ability to get up C. Bedridden, weak D. Inadequate food intake E RBC and Hemoglobin levels are low as shown in laboratory results F. Excessive sweating

    5. Which of the following statements is INCORRECT when establishing priorities during outcome identification phase of the nursing process? A. Airway should be given highestpriority B. Physiologic needs are given priority over psychosocial needs C. Give priority to patients with unstable condition D. Patients for discharge and who require health teachings should be attended first before the other patients

    6. Which of the following statements indicates that the student nurse is performing the implementation phase of the nursing process? A. The student nurse places call light system within patients reach B. The patient used the call light system for assistance for each need to get up from bed, after instruction by the nurse C. The student nurse noted the patient is weak, and needs assistance when ambulating D. The student nurse documented: High risk for injury related to impaired mobility and weakness

    7. Which of the following is the primary source of data? A. The patients chart B. The patient C. The patients physician D. The patients nearest relative

    8. Which of the following is NOT correct statement of outcome criteria? A. Ambulates the length of the hallway without shortness of breath, dizziness and faintness before discharge B. Demonstrate proper self-injection with insulin after the teaching session C. Consumes 80-100% of meals served within 3 days D. Verbalizes fear and concerns regarding surgical procedures

    9. Which of the following clusters of data indicate a trend or pattern that supports a specific patient need? A. Difficulty in hearing, weight gain, shortness of breath B. BP is 160/90mmHg, oliguria, edema of the face, hands, and legs C. Yellowish discoloration of the eyes and skin, seeing yellow spots in the visual field, light yellow urine D. Difficulty in swallowing, difficulty in urinating, difficulty in breathing

    10. Which of the following patient assignment should be given highest priority by the student nurse? A. The diabetic patient who is for discharge after lunch B. The patient who needs abdominal dressing change this morning C. The patient who is having difficulty of breathing D. The post-operative patient whose temperature is 37.7Co

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