Nokea
Human responses to levels of wellness in an individual family or community that have a readiness for enhancement are known as a ____ patient problem
Correct Answer: wellness
Rationale: 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.
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What is the primary purpose of nursing interventions?
- A. To support health care provider's orders
- B. To provide direction for all caregivers
- C. To provide broad general statements
- D. To clarify nursing principles
Correct Answer: B
Rationale: Nursing orders are necessary to provide instructions for all caregivers.
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.
What assists the nurse in the identification of patient problems?
- A. Objective data
- B. Subjective data
- C. Data clustering
- D. Validated data
Correct Answer: C
Rationale: Data clustering assists the nurse in determining patient problems.
What best defines the nursing process?
- A. A method to ensure that the health care provider's orders are implemented correctly.
- 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.
Correct Answer: C
Rationale: The nursing process is a framework by which to organize individualized nursing care.
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.
Correct Answer: D
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. Shortness of breath on exertion is an example of objective data. All other options are examples of subjective data.