NUR 200 FINAL EXAM - During which of the five steps in the nursing p...

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NUR 200 FINAL EXAM

EXAM WITH CORRECT SOLUTIONS.

During which of the five steps in the nursing process does the nurse determine whether outcomes of care are achieved?

• Implementation
• Evaluation
• Planning
• Analysis - correct answer- b. Evaluation

Which statement is related to the concept that is central to the nursing process?

• It is dynamic rather than static
• It focuses on the role of the nurse
• It moves from the simple to the complex
• It is based on the patient's medical problem - correct answer-
• It is dynamic rather than static

A nurse teaches a patient to use visualization to cope with chronic pain. Which step of the nursing diagnosis is directly related to this concept? 1 / 4

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• Planning
• Analysis
• Evaluation
• Implementation - correct answer- d. Implementation

Which action reflects the assessment step of the nursing process?

• Taking a patient's apical pulse every 2 hours after being

admitted for an episode of chest pain

• Scheduling a patient's fluid intake over 12 hours when the

patient has a fluid restriction

• Examining a patient for injury after a patient falls in the

bathroom

• Obtaining a patient's respiratory rate after a nebulizer

treatment - correct answer- c. Examining a patient for injury after a patient falls in the bathroom

A nurse is caring for a patient with a fever. Which is a well- designed goal for this patient?

• The patient will have a lower temperature
• The patient will be taught how to take an accurate

temperature 2 / 4

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• The patient will maintain fluid intake adequate to prevent

dehydration

• The patient will be given aspirin every eight hours whenever

necessary - correct answer- c. The patient will maintain fluid intake adequate to prevent dehydration

During which step of the nursing process does determining which actions will be employed to meet the needs of a patient occur?

• Implementation
• Assessment
• Planning
• Analysis - correct answer- c. Planning

Which is the primary goal of the assessment phase of the nursing process?

• Build trust
• Collect data
• Establish goals
• Validate the medical diagnosis - correct answer- b. Collect

data

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When two nursing diagnoses appear closely related, which should the nurse do first to determine which diagnosis most accurately reflects the needs of the patient?

• Reassess the patient
• Examine the related to factors
• Analyze the secondary to factors
• Review the defining characteristics - correct answer- d.

Review the defining characteristics

Which is the primary reason why a nurse performs a physical assessment of a newly admitted patient?

• Identify if the patient is at risk for falls
• Ensure that the patient's skin is totally intact
• Identify important information about the patient
• Establish a therapeutic relationship with the patient - correct

answer- c. Identify important information about the patient

A nurse evaluates a patient's response to a nursing intervention. To which aspect of the nursing process is this evaluation most directly related?

• Goal
• Problem
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