Nursing Process NCLEX Questions Comprehensive Set For Fundamentals of Nursing Class

Nursing Process NCLEX Questions Comprehensive Set For Fundamentals of Nursing Class ScienceMedicineNursing audrey_smith79 Save Nursing Process Questions and Ans...31 terms SamSabolaPreview Nursing Process NCLEX questions 16 terms jacquie_goggin Preview Chapter 5 Nursing Process and Criti...20 terms stressednsgstu Preview Fundam 50 terms vick A female patient who is receiving chemotherapy for breast cancer tells the nurse, "The treatment for this cancer is worse than the disease itself.I'm not going to come for my therapy anymore." The nurse responds by using critical thinking skills to address this patient problem. Which action is the first step the nurse would take in this process?

• The nurse judges whether the patient database is adequate to address the problem.
• The nurse considers whether or not to suggest a counseling session for the patient.
• The nurse reassesses the patient and decides how best to intervene in her care.
• The nurse identifies several options for intervening in the patient's care and critiques the merit of each option.

C-The nurse reassesses the patient and decides how best to intervene in her care.The first step when thinking critically about a situation is to identify the purpose or goal of your thinking. Reassessing the patient helps to discipline thinking by directing all thoughts toward the goal. Once the problem is addressed, it is important for the nurse to judge the adequacy of the knowledge, identify potential problems, use helpful resources, and critique the decision.During which part of the client interview would it be best for the nurse to ask, "What's the weather forecast for today?"

• Introduction
• Body
• Closing
• Orientation
• Introduction

Rationale: Asking about the weather initiates the social or introductory phase of the interview and allows the nurse to begin an assessment of the client's mental status. The goal is to develop rapport with the client at the beginning of the interview. In the body the client responds to the nurse's questions. During the closing the nurse or the client terminates the interview.

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

• Implementation
• Evaluation
• Planning
• Analysis

2.Evaluation occurs when actual outcomes are compared with expected outcomes that reflect goal achievement. If the goal is achieved, the patient's needs are met.What is the purpose of the nursing process?

• Providing patient-centered care
• Identifying members of the health care team
• Organizing the ways nurses think about patient care
• Facilitating communication among members of the health care team
• Organizing the ways nurses think about patient care

The nursing process is the methodology used to "think like a nurse." Providing patient-centered care and enhancing communication among health team members is facilitated through the use of care plans. Collaborating with rather than identifying members of the health care team is part of many plans of care.Once a nurse assesses a client's condition and identifies appropriate nursing diagnoses, a:

• Plan is developed for nursing care.
• Physical assessment begins
• List of priorities is determined.
• Review of the assessment is conducted with other team members.

A 1. Plan is developed for nursing care.

The nurse would do which of the following activities during the diagnosing phase of the nursing process? Select all that apply.

• Collect and organize client information
• Analyze data
• Identify problems, risk, and client strengths
• Develop nursing diagnoses
• Develop client goals
• Analyze data
• Identify problems, risk, and client strengths
• Develop nursing diagnoses

Rationale: The diagnosing phase of the nursing process involves data analysis, which leads to identification of problems, risks, and strengths and the development of nursing diagnoses. Collecting and organizing client data is done in the assessment phase of the nursing process. Goal setting occurs during the planning phase.

Planning is a category of nursing behaviors in which:

• The nurse determines the health care needed for the client.
• The Physician determines the plan of care for the client.
• Client-centered goals and expected outcomes are established.
• The client determines the care needed.

C 3. Client-centered goals and expected outcomes are established.A patient comes to the emergency department complaining of nausea and vomiting. What should the nurse ask the patient about first?

• Family history of diabetes
• Medications the patient is taking
• Operations the patient has had in the past
• Severity and duration of the nausea and vomiting
• Severity and duration of the nausea and vomiting

In an emergent situation, the nurse initially focuses on the patient's chief complaint to determine its cause. Before initiating care, the nurse gathers information on the other topics.The nursing process ensures that nurses are person centered rather than task centered. Rather than simply approaching a patient to take vital signs, the nurse thinks, "How is Mrs. Barclay today? Are our nursing actions helping her to achieve her goals? How can we better help her?" This demonstrates which characteristic of the nursing process?

• Systematic
• Interpersonal
• Dynamic
• Universally applicable in nursing situations

B- Interpersonal All of the other options are characteristics of the nursing process, but the conversation and thinking quoted best illustrates the interpersonal dimension of the nursing process.

The nurse is most likely to collect timely, specific information by asking which of the following questions?

• "Would you describe what you are feeling?"
• "How are you today?"
• "What would you like to talk about?"
• "Where does it hurt?"
• "Would you describe what you are feeling?"

Rationale: This is an open-ended question that will elicit subjective data. The data collected will reflect the client's current health status and human response(s) and should generate specific information that can be used to identify actual and/or potential health problems. Options 2 and

• are more likely to elicit general, nonspecific information. Option 4 may result in a brief, one-word response or nonverbal gesture indicating the

site of the client's pain. A better approach to collect specific information might be, "Describe any pain you are having." When considering the Nursing Process, the word "observe" is to "assess" as the word "explore" is to:

• Plan
• Analyze
• Evaluate
• Implement

Analyze fits the analogy because the word means to investigate and the word Explore means to examine. (Observe and Assess are similar.Observe means to view something scientifically and assess means to collect information.) 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 medicalproblem

It is dynamic rather than static The nurse should avoid asking the client which of the following leading questions during a client interview?

• "What medication do you take at home?"
• "You are really excited about the plastic surgery, aren't you?"
• "Were you aware I've has this same type of surgery?"
• "What would you like to talk about?"
• "You are really excited about the plastic surgery, aren't you?"

Rationale: A leading question directs the client's answer. The phrasing of the question indicates an expected answer. The client may be influenced by the nurse's expectations and may give inaccurate responses. This process can result in an error in diagnostic reasoning.