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In addition to identifying responses to actual or potential health problems, what is another purpose of the diagnosing step in the nursing process?
- A. to collect information about subjective and objective data
- B. to correlate nursing and medical diagnostic criteria
- C. to identify etiologies of health problems
- D. to evaluate mutually developed expected outcomes
Correct Answer: C
Rationale: Identifying etiologies of health problems is a key purpose of the diagnosing step, as it helps determine the underlying causes of a patient's health issues, guiding appropriate interventions.
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Which of the following nursing diagnoses is an example of a wellness diagnosis?
- A. Acute Pain
- B. Risk for Infection
- C. Readiness for Enhanced Parenting
- D. Possible Chronic Low Self-Esteem
Correct Answer: C
Rationale: A wellness diagnosis, like 'Readiness for Enhanced Parenting,' focuses on promoting higher levels of health or function.
A nurse develops a plan of care to meet the needs of a patient who has had a large loss of blood after a snowmobile crash. The interventions include administering and monitoring the patients physiologic response to intravenous fluids and blood. What has the nurse focused care on?
- A. a medical diagnosis
- B. a nursing diagnosis
- C. a collaborative problem
- D. a goal for care
Correct Answer: C
Rationale: This scenario describes a collaborative problem, as it involves joint interventions between nursing and medical care, such as administering fluids and blood.
The nurse takes a patients vital signs and finds the pulse rate to be 120 beats/min. What would the nurse do next to interpret and analyze this pulse rate?
- A. Compare the patients pulse rate to the standard range.
- B. Notify the patients healthcare provider.
- C. Document the pulse in the appropriate chart page.
- D. Ask another nurse to verify the pulse rate.
Correct Answer: A
Rationale: Comparing the pulse rate to the standard range is the next step to determine if it is abnormal and requires further action.
After completing assessments, a nurse uses the data collected to identify appropriate nursing diagnoses for a patient. What are the nursing diagnoses used for?
- A. selecting nursing interventions to meet expected outcomes
- B. establishing a database of information for future comparison
- C. mutually establishing desired outcomes of the plan of care
- D. evaluating the effectiveness of the established plan of care
Correct Answer: A
Rationale: Nursing diagnoses guide the selection of interventions to achieve expected outcomes, as they provide a framework for addressing patient needs.
Of all the benefits of using nursing diagnoses, which one is probably the most important to nurses?
- A. defining the domain of nursing practice
- B. informing patients of their care
- C. improving communication among nurses
- D. structuring curricular content
Correct Answer: C
Rationale: Improved communication among nurses is a key benefit, as nursing diagnoses provide a standardized language for care.