Nokea
Implementation means putting the plan into action and performing the interventions.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True. Implementation involves executing the planned nursing interventions to achieve patient goals.
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Nursing diagnoses and medical diagnoses both use the names of diseases.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False. Nursing diagnoses focus on patient responses to health conditions, not disease names, which are used in medical diagnoses.
Improvement in a patient's health problem is measured by how much progress the patient makes toward the goal, which is set by the nurse.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False. Goals are set collaboratively with the patient, not solely by the nurse, to ensure patient-centered care.
Which step of the nursing process is concerned with identifying physical findings?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
- E. Evaluation
Correct Answer: A
Rationale: Assessment is the step where nurses collect data, including physical findings, through observation, interviews, and examinations to establish a baseline for patient care.
Specified diagnoses are those that clearly apply to one defined patient need, so that any more description would only be redundant.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True. Specified diagnoses are concise and address a single, clear patient need without unnecessary elaboration.
A nursing diagnosis may be a one-part, two-part, or three-part statement.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True. Nursing diagnoses can be structured as one-part (wellness), two-part (problem and etiology), or three-part (problem, etiology, and symptoms) statements.