nursing process and critical thinking quiz

Hardest Test: NUR 101 Nursing Process And Critical Thinking! Quiz

The quiz below is the second and final one on everything we have covered so far when it comes to Nursing process and its connection to critical thinking. It is specifically designed to help you know how to tackle any questions you may have to handle on this topic when it comes to the final exam. Do give it a try and see if you need more study time.

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Which of the following are true regarding nursing diagnosis? 

A nursing diagnosis is any problem related to the health of a patient

When writing a nursing diagnosis, place the adjective before the noun modified

A nursing diagnosis is usually the etiology of the disease

Both medical and nursing diagnosis can be converted into a nursing intervention.

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Risk factors

Description of a problem

Analysis of a health issue

Possible illness

Circumstances that increase the susceptibility of a patient to a problem

Clinical cues, signs, symptoms that furnish evidence that the problem exists. 

Defining characteristics

Nursing diagnosis

How cues, signs and symptoms identified in patient's assessment are written

Diagnosed by

Explained by

Manifested by

"Constipation related to insufficient fluid intake manifested by increased abdominal pressure". What is the defining characteristic? 

Constipation

Insufficient fluid

Increased abdominal pressure

What is RISK NURSING DIAGNOSIS as described by NANDA-I?  Select all that apply

Human responses to health conditions/life processes that may develop in a vulnerable individual/family

Describes the symptoms of the disease

Supported by risk factors that contribute to increased vulnerability

Proof that the person is suffering from an illness

How many parts does a RISK NURSING DIAGNOSIS have?

Which of the following is a risk nursing diagnosis statement .

Risk for falls related to unstable balance

Constipated because of fecal impaction

Risk for Diarrhea

Constipation related to dehydration

Syndrome Nursing Diagnosis

An isolated disease with numerous symptoms

Numerous symptoms describing a single disease

Used when a cluster of actual or risk nursing diagnosis are predicted to be present

Numerous symptoms leading to an idiopathic disorder

Wellness Nursing Diagnosis

Absence of illness

Not strictly a diagnosis

Human responses to levels of good health in an individual, family or community

All of the above

Certain Physiologic complications that nurses monitor to detect their onset or changes in the patient's status.    

Collaborative problems

Clustered Syndrome

Signs of death

Potential complications: hypoglycemia.  This is a sample of what?

Syndromatic pathology

Definite Variance

Collaborative problem

Idiopathic etiology

Identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory test and procedures. 

Health Analysis

Nursing Problem

Medical Diagnosis

Difference between Medical and Nursing Diagnoses

Medical is etiology; Nursing is human response

Medical is disease; Nursing is the cause of disease

Medical is illness; Nursing is illness too

Medical is to heal the disease: Nursing is to discover the disease

Difference between a goal statement and an outcome statement

A good outcome statement is specific to the patient

Goals are general deadlines that are to be met

An outcome statement refers to what the nurse will do

Goals and Statements are practically the same

The purpose to which an effort is directed 

Intervention

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Chapter 5 TEST - ch 5

Fundamentals of nursing care (hnur 2110), northshore technical community college.

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Preview text, chapter 05: nursing process and critical thinking, cooper: foundations of nursing, 8th edition, multiple choice, 1. what best defines the nursing process, a. a method to ensure that the health care provider’s orders are implemented, b. a series of assessments that isolate a patient’s health problem., c. a framework for the organization of individualized nursing care., d. a preset formula for the design of nursing care., the nursing process is a framework by which to organize individualized nursing care., dif: cognitive level: comprehension ref: 80 obj: 1, top: nursing process key: nursing process step: n/a, msc: nclex: n/a, 2. all of the following patients have been admitted to the acute care setting. on admission,, which patient should receive a focused assessment, a. 53-year-old admitted with a perforated ulcer, b. 5-year-old admitted for the implant of grommets in the middle ear, c. 76-year-old admitted for a knee replacement, d. 40-year-old admitted for possible bowel obstruction, a patient with a perforated ulcer is considered to be critically ill. therefore, this patient should, receive a focused assessment. the remaining options are not considered critical illnesses., dif: cognitive level: application ref: 81 | 82 obj: 2, top: assessment key: nursing process step: assessment, msc: nclex: physiological integrity, 3. what subjective data does the nurse record following a head-to-toe examination, a. rash on back, b. prolonged nausea, c. blood pressure of 190/, d. white blood cell count of 19,, another term for subjective data is symptoms, which cannot be observed or measured. this, data must come from the patient., dif: cognitive level: application ref: 82 obj: 3, top: subjective data key: nursing process step: assessment, 4. what objective data should the nurse include after a patient assessment, a. headache of 3 days’ duration, b. severe stomach cramps, c. flatulence, objective data are observable and measurable by people other than the patient., top: objective data key: nursing process step: assessment, 5. what is classified as information provided by the family when a patient is unable to provide, data during assessment, b. secondary, c. unreliable, secondary sources include family members., dif: cognitive level: comprehension ref: 82 obj: 3, top: assessment key: nursing process step: assessment msc: nclex: n/a, 6. what are the two primary methods used to collect data, a. written report by patient and family, b. review of the chart and the nurse’s notes, c. interview and physical examination, d. review of the health care provider’s orders and the kardex, the two primary methods of collecting data are interviewing and physical examination., 7. the nurse writes two patient problems: (1) inadequate nutritional intake related to vomiting as, manifested by a 3-lb weight loss and (2) risk for impaired skin integrity related to inadequate, nutrition. what is the major difference between these diagnoses, a. the second diagnosis needs no defined nursing interventions., b. the second diagnosis needs medical intervention., c. the second diagnosis will not need to be evaluated., d. the second diagnosis reflects a problem that does not yet exist., the actual patient problem represents a condition that is currently present. “risk for”, diagnoses are those that the patient is susceptible to, but not yet troubled by., dif: cognitive level: comprehension ref: 84 obj: 4, top: patient problem key: nursing process step: assessment, 8. what framework does the establishment of priorities of care during the planning phase of the, nursing process often use, 12. which nursing intervention is complete and correct, a. “may 10: unlicensed assistive personnel will ambulate patient. a. nurse”, b. “day nurse will cleanse wound and change dressings every day. may 10, a., c. “unlicensed assistive personnel will serve 8 oz glass of juice at each meal, 5/10.”, d. “p. nurse will ensure that heel protectors are in place before bedtime.”, nursing orders must be signed, dated, and have specific designation as to who will perform, intervention and specifics about time or frequency of the intervention., dif: cognitive level: application ref: 87 | 88 obj: 7, top: nursing interventions key: nursing process step: implementation, 13. a patient with a urinary tract infection is assessed using a clinical pathway. when a projected, outcome is not met by a predetermined date, it is determined that what has occurred, a. omission, b. variance, a variance occurs when a projected outcome is not met., dif: cognitive level: comprehension ref: 91 obj: 8 | 11, top: critical pathways key: nursing process step: evaluation, 14. during a physical examination, the nurse discovers that the patient demonstrates signs of, flushed, dry, hot skin; dry oral mucous membranes; and temperature elevation. the nurse, should treat this data as the basis of a patient problem plan. what does this data represent, a. symptoms, b. data clustering, c. signs of fluid overload, d. urinary retention, the nurse organizes data, and those that are related are referred to as clustering., dif: cognitive level: comprehension ref: 82 obj: 3 | 12, 15. what type of assessment is performed continuously throughout nurse-patient contact, a. complete, b. body systems, d. subjective, focused assessments are performed continuously throughout nurse-patient contact based on, the nursing care plan., dif: cognitive level: comprehension ref: 81-82 obj: 1, 16. what assists the nurse in the identification of patient problems, a. objective data, b. subjective data, c. data clustering, d. validated data, data clustering assists the nurse in determining patient problems., dif: cognitive level: comprehension ref: 82 obj: 4, 17. what organized approach might the nurse use when performing a complete physical, examination, a. maslow’s hierarchy of needs, b. a head-to-toe assessment, c. subjective data collection, d. objective data collection, a head-to-toe format provides a systematic approach., 18. who is the person responsible for analyzing and interpreting data to arrive at a patient, a. health care provider, d. technician, the rn is responsible for analyzing and interpreting data., dif: cognitive level: knowledge ref: 81 obj: 4, top: role responsibility key: nursing process step: n/a, 19. what is the basis for designing and selecting nursing interventions to meet patient needs, a. patient problem, b. care plan, c. health care provider’s orders, d. nurse’s notes, c. ensure interventions will be easy to implement., d. ensure evaluation of the patient problems is possible., plans are more effective when the patient is involved in the process. the care plan is not, limited in terms of the number of interventions, nor do they have to be easy. the patient, problems are not evaluated; the patient’s progress toward the outcome is., dif: cognitive level: comprehension ref: 86 obj: 6 | 9, top: care plan key: nursing process step: planning msc: nclex: n/a, 24. from where are the “risk for” patient problems identified, a. the care plan, b. the interventions, c. the assessment, d. the evaluation, patient problems should be identified from the assessment., dif: cognitive level: knowledge ref: 80-81 obj: 2, top: nursing process key: nursing process step: assessment, 25. what expected outcome exemplifies accepted criteria, a. nurse will assess vital signs every day, b. resident will observe safety guidelines while smoking, c. resident will take part in one activity daily for the next 90 days, d. nurse will monitor o 2 saturation to maintain at greater than 90%, expected outcomes must be patient-centered, measurable, and refer to a time frame., dif: cognitive level: application ref: 85 obj: 6, top: nursing process key: nursing process step: planning, 26. during an admission assessment, the nurse collects objective and subjective data. what is an, example of subjective data, a. the patient complains of nausea., b. the patient is vomiting., c. the patient experiences tachycardia., d. the patent is pacing the halls., subjective data are the verbal statements provided by the patient. statements about nausea and, descriptions of pain, fatigue, and anxiety are examples of subjective data. complaining of, nausea is an example of subjective data. all other options are examples of objective data., dif: cognitive level: application ref: 82 obj: 1 | 3, 27. during an admission assessment, the nurse collects objective and subjective data. what is an, a. the patient is asleep., b. the patient is tearful., c. the patient has facial grimacing., d. the patient states, “i hurt all over.”, descriptions of pain, fatigue, and anxiety are examples of subjective data. stating “i hurt all, over” is an example of subjective data. all other options are examples of objective data., 28. during an admission assessment, the nurse collects objective and subjective data. what is an, a. the patient is coughing., b. the patient has cyanosis of the lips., c. the patient experiences tachypnea., d. the patient complains of generalized discomfort., generalized discomfort is an example of subjective data. all other options are examples of, objective data., 29. during an admission assessment, the nurse collects objective and subjective data. what is an, example of objective data, a. the patient complains of chest pain., b. the patient states, “i feel nauseous.”, c. the patient complains of feeling faint., d. the patient is short of breath on exertion., objective data are observable and measurable signs. objective data can be recorded. a camera, can record a rash, a skin lesion, or puffy eyes. a tape recorder can give evidence of crying or, slurred speech. a thermometer can record a temperature elevation. other terms for objective, data are signs and objective cues. shortness of breath on exertion is an example of objective, data. all other options are examples of subjective data., a. constipation, b. patient complains of constipation, c. need for laxatives, d. patient has a duodenal ulcer, constipation is an example of a patient problem, a patient complaining of constipation is an, example of a charting entry, a need for laxatives is an example of a patient need, and a patient, has a duodenal ulcer is an example of a medical diagnosis., top: patient problem key: nursing process step: diagnosis, 34. a nurse is formulating a patient problem. what is an example of an appropriately written, patient problem, a. risk for impaired skin integrity related to physical immobilization, b. physical immobilization secondary to risk for impaired skin integrity, c. risk for impaired skin integrity related to diagnosis of decubitus ulcers, d. physical immobilization secondary to decreased cognitive ability, risk for impaired skin integrity related to physical immobilization is the only appropriately, written patient problem. all other options are not listed as nanda-i approved patient, dif: cognitive level: application ref: 83-85 obj: 4, 35. which is an example of a patient problem, a. pneumonia, b. diabetes mellitus, c. impaired skin integrity, d. congestive heart failure, impaired skin integrity is the only example of a patient problem; all other options are, examples of medical diagnoses., dif: cognitive level: comprehension ref: 83-85 obj: 4, 36. which is an example of a medical diagnosis, d. altered nutrition: less than body requirements, diabetes mellitus is the only example of a medical diagnosis; all other options are examples of, patient problems., dif: cognitive level: comprehension ref: 85 obj: 4, top: medical diagnosis key: nursing process step: diagnosis, 37. which is an example of a medical diagnosis, c. pneumonia, d. impaired skin integrity, pneumonia is the only example of a medical diagnosis; all other options are examples of, multiple response, 1. which are acceptable secondary sources for data (select all that apply.), b. family members, c. other health professionals, d. diagnostic reports, e. textbooks, ans: b, c, d, e, a patient is not a secondary source. the patient is the primary data source., top: data sources key: nursing process step: n/a msc: nclex: n/a, 2. which are official categories of patient problems (select all that apply.), c. wellness, d. syndrome, e. potential, ans: a, b, c, d, actual, risk, wellness, and syndrome are the four categories of patient problems., dif: cognitive level: comprehension ref: nit obj: 4, top: patient problem key: nursing process step: n/a, 3. which are considered phases of the nursing process (select all that apply.), a. diagnosis, 4. a systematic method by which nurses plan and provide care for patients is known as the, nursing ____________., the nursing process serves as the organizational framework for the practice of nursing. it is a, systematic method by which nurses plan and provide care for patients., dif: cognitive level: knowledge ref: 80 obj: 2, 5. a systemic, dynamic way to collect and analyze data about a patient that includes physiologic, data as well as psychological, sociocultural, spiritual, economic, and lifestyle factors is known, as ______________________., the american nurses association (ana) defines assessment as “a systematic, dynamic way, to collect and analyze data about a patient, the first step in delivering nursing care. assessment, includes not only physiologic data, but also psychological, sociocultural, spiritual, economic,, and lifestyle factors as well.”, 6. any health care condition that requires diagnostic, therapeutic, or educational actions is, known as a ______________., a problem is any health care condition that requires diagnostic, therapeutic, or educational, dif: cognitive level: knowledge ref: 83 obj: 2, top: a problem key: nursing process step: n/a msc: nclex: n/a, 7. a clinical judgment concerning a human response to health conditions/life processes, or a, vulnerability for that response, by an individual, family, group or community is known as a, nursing ___________., a patient problem is a clinical judgment concerning a human response to health, conditions/life processes, or a vulnerability for that response, by an individual, family, group, or community., dif: cognitive level: knowledge ref: 83 obj: 4, 8. the human responses to health conditions/life processes that exist in an individual, family, or, community are known as a(n) _________ patient problem., an actual patient problem is described as the human responses to health conditions/life, processes that exist in an individual, family, or community., dif: cognitive level: knowledge ref: 84 obj: 4, top: actual patient problem key: nursing process step: diagnosis, 9. human responses to health conditions and life processes that may develop in a vulnerable, individual, family, or community are known as a(n) __________ patient problem., a risk patient problem is defined as the human responses to health conditions/life processes, that may develop in a vulnerable individual, family, or community., top: risk patient problem key: nursing process step: diagnosis, 10. human responses to levels of wellness in an individual, family, or community that have a, readiness for enhancement are known as a _____________ patient problem, a wellness patient problem is defined as human responses to levels of wellness in an, individual, family, or community that have a readiness for enhancement., top: wellness patient problem key: nursing process step: diagnosis, 11. the identification of a disease or condition by a scientific evaluation of physical signs,, symptoms, history, laboratory tests, and procedures is known as a _________ diagnosis..

• Multiple Choice

Course : Fundamentals of Nursing Care (HNUR 2110)

University : northshore technical community college.

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• 1. Multiple Choice Edit 30 seconds 1 pt Which is not a characteristic of critical thinking? using disciplined thinking and judgement Memorizing information without applying it. using logical skills in reasoning. upholds the standards of critical thinking.
• 2. Multiple Choice Edit 30 seconds 1 pt Who defined critical thinking as "Purposeful, self-regulatory judgment that results in interpretation, analysis, evaluation, and inference​"? Florence Nightingale Paul and Elder Clara Barton Facione and Others
• 3. Multiple Choice Edit 30 seconds 1 pt Becoming an excellent critical thinker is significantly related to increased years of work experience and higher level education. True False
• 4. Multiple Choice Edit 30 seconds 1 pt Which is not a phase of the nursing process? Planning Evaluating Collecting Data Assessment
• 5. Multiple Choice Edit 30 seconds 1 pt "I am in pain" is an example of? Subjective Data Objective Data Referred Data Patient's complaint
• 6. Multiple Choice Edit 30 seconds 1 pt Which is not a method of collecting data? Patient Interview Consultation Physical Examination Doctor's appointment
• 7. Multiple Choice Edit 30 seconds 1 pt A nursing diagnosis consist of the following components: The problem, etiology and the defining characteristics of problem.  True False
• 8. Multiple Choice Edit 30 seconds 1 pt Which is considered a short term goal? Patient will lose 2 pounds within a few days The patient will run a marathon right after an orthopedic surgery Patient will lose 75 pounds within a few days An ataxia patient will gain full control of bodily movements in 2 hours.
• 9. Multiple Choice Edit 30 seconds 1 pt What is independent intervention?  A nurse administering medication A nurse teaching a patient how to breast feed A nurse performing a blood transfusion A nurse performing a medical diagnosis
• 10. Multiple Choice Edit 30 seconds 1 pt Clinical judgments consists of informed opinions and decisions based on empirical knowledge and experience. True False

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Quiz 5: Nursing Process and Critical Thinking

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Multiple Choice

What subjective data does the nurse record following a head-to-toe examination?

A patient with a urinary tract infection is assessed using a clinical pathway.When a projected outcome is not met by a predetermined date,it is determined that what has occurred?

What assists the nurse in the identification of nursing diagnoses?

The nurse writes two nursing diagnoses: (1) inadequate nutritional intake related to vomiting as manifested by a 3-lb weight loss and (2) risk for impaired skin integrity related to inadequate nutrition.What is the major difference between these diagnoses?

Who is the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis?

What documentation reflects implementation?

Which nursing order is complete and correct?

The patient is confined to bed rest,which contributes to immobility.What is bed rest considered in this situation?

During a physical examination,the nurse discovers that the patient demonstrates signs of flushed,dry,hot skin; dry oral mucous membranes; and temperature elevation.The nurse should treat this data as the basis of a nursing diagnosis plan.What does this data represent?

What is an appropriate outcome statement for a patient with a nursing diagnosis of ineffective airway clearance related to thick secretions?

What is the basis for designing and selecting nursing interventions to meet patient needs?

What is classified as information provided by the family when a patient is unable to provide data during assessment?

What are the two primary methods used to collect data?

What type of assessment is performed continuously throughout nurse-patient contact?

All of the following patients have been admitted to the acute care setting.On admission,which patient should receive a focused assessment?

What is the primary purpose of nursing orders?

What framework does the establishment of priorities of care during the planning phase of the nursing process often use?

What objective data should the nurse include after a patient assessment?

What organized approach might the nurse use when performing a complete physical examination?

What best defines the nursing process?

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