Nokea
Nursing diagnoses all contain the modifier 'risk for.'
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False. Only potential problems use 'risk for'; actual problems and wellness diagnoses do not.
You may also like to solve these questions
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.
Which step of the nursing process is most associated with action?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
- E. Evaluation
Correct Answer: D
Rationale: Implementation is the action-oriented step where nurses carry out the planned interventions to address patient needs.
You are performing the daily assessment of your patient's status. You notice some purplish marks on her arm where the bandage for her IV had been and the skin is torn. Which of the following techniques did you use to obtain these data?
- A. Inspection
- B. Palpation
- C. Auscultation
- D. Percussion
Correct Answer: A
Rationale: Inspection involves visually observing the patient's skin, which allowed you to notice the purplish marks and torn skin.
You are assisting the nurse practitioner (NP) with her assessment of an elderly, confused woman. You watch as the NP places her hand on the woman's back and then taps her own middle finger with her other hand. This assessment technique is called
- A. Inspection
- B. Palpation
- C. Auscultation
- D. Percussion
Correct Answer: D
Rationale: Percussion involves tapping to assess underlying structures, as described in the NP's technique.