Nokea
A multidisciplinary plan that schedules clinical ____ over an anticipated time frame for high-risk high-volume and high-cost types of cases is known as a critical pathway.
Correct Answer: interventions
Rationale: A critical pathway is a multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high-risk, high-volume, and high-cost types of cases.
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The human responses to health conditions/life processes that exist in an individual family or community are known as a(n) ____ patient problem.
Correct Answer: actual
Rationale: An actual patient problem is described as the human responses to health conditions/life processes that exist in an individual, family, or community.
During an admission assessment the nurse collects objective and subjective data. What is an example of objective data?
- A. The patient is jaundiced.
- B. The patient states "I am nervous."
- C. The patient complains of palpitations.
- D. The patient denies dizziness when ambulating.
Correct Answer: A
Rationale: 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. The patient is jaundiced is an example of objective data. All other options are examples of subjective data.
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
- C. Failure
- D. Error
Correct Answer: B
Rationale: A variance occurs when a projected outcome is not met.
Which are considered phases of the nursing process?
- A. Diagnosis
- B. Prediction
- C. Assessment
- D. Evaluation
- E. Implementation
- F. Outcome identification
Correct Answer: A,C,D,E,F
Rationale: The nursing process consists of six dynamic and interrelated phases: diagnosis, assessment, outcome identification, planning, implementation, and evaluation. Prediction is not a phase of the nursing process.
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.
Correct Answer: D
Rationale: 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.