Chapter 04 The Nursing Process and Critical Thinking

Chapter 04  The Nursing Process and Critical Thinking

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse who uses the nursing process will:
a.
help reduce the obvious signs of discomfort.
b.
help the patient adhere to the primary care provider’s treatment protocol.
c.
approach the patient’s disorder in a step-by-step method.
d.
make all significant nursing care decisions involving patient care.

ANS: C
The nursing process is a collaborative process used throughout the patient’s stay. It is an organized method for identifying and meeting patient needs in a step-by-step manner.

DIF: Cognitive Level: Knowledge REF: p. 48 OBJ: Theory #1
TOP: Nursing Process KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

2. A nurse will arrive at a nursing diagnosis through the nursing process step of:
a.
planning.
b.
evaluation.
c.
research.
d.
assessment.

ANS: D
As a result of the nursing assessment, a nursing diagnosis is established.

DIF: Cognitive Level: Comprehension REF: p. 50|Table 4-2
OBJ: Theory #2 TOP: Nursing Diagnosis KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

3. In the collaborative process of delivering care based on the nursing process, the responsibility of the LPN/LVN is to:
a.
collect data of health status.
b.
select a nursing diagnosis.
c.
organize data to help the RN evaluate patient progress.
d.
prioritize nursing diagnoses for more effective care.

ANS: A
The LPN/LVN collects data of the patient’s health status to assist the RN in selecting a nursing diagnosis.

DIF: Cognitive Level: Comprehension REF: p. 49|Table 4-1
OBJ: Theory #2 TOP: Critical Thinking KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

4. The participants of the planning stage of the nursing process during which the health goals are defined include:
a.
the RN.
b.
the health team led by the RN.
c.
the health team, the patient, and the patient’s family.
d.
the health team as directed by the physician.

ANS: C
The planning stage during which the health goals are defined are best shared by the entire health team, the patient, and the patient’s family for the optimum outcome.

DIF: Cognitive Level: Comprehension REF: p. 48 OBJ: Theory #1
TOP: Nursing Process KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

5. When a resident in the nursing home complains of constipation, the nurse performs a digital rectal examination and finds a hard fecal mass. This is an example of:
a.
implementation.
b.
nursing diagnosis.
c.
assessment.
d.
evaluation.

ANS: C
The examination to confirm and affirm the complaint of constipation is an assessment.

DIF: Cognitive Level: Application REF: p. 48|Table 4-1
OBJ: Theory #1 TOP: Nursing Process
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort