In which step of the nursing process would you look at outcomes?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
- E. Evaluation
Correct Answer: E
Rationale: Evaluation is the step where nurses assess whether the patient has achieved the expected outcomes, determining the effectiveness of the care plan.
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In which step of the nursing process are priorities set?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
- E. Evaluation
Correct Answer: C
Rationale: Planning involves setting priorities for nursing diagnoses and determining goals and interventions to address the patient's needs.
Wellness diagnoses are characterized by the phrase 'ready for enhanced.'
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True. Wellness diagnoses, such as 'ready for enhanced health,' focus on opportunities for health improvement.
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.
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.
LPNs/LVNs do not have a role in determining nursing diagnoses for the care plan.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False. LPNs/LVNs contribute to care planning by collecting data and providing input, though RNs typically finalize nursing diagnoses.
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