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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.
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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.
The NANDA-I list of nursing diagnoses is the only source of nursing diagnoses available.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False. While NANDA-I is a widely used source, other standardized nursing diagnosis lists exist, and nurses may develop diagnoses based on patient needs.
How is Maslow's hierarchy of human needs used by nurses in a clinical setting?
- A. It serves as a reminder of human growth and development across the life span.
- B. It is a framework for thinking critically.
- C. It helps in prioritizing nursing diagnoses and care.
- D. It outlines the basic psychological needs that people have when they are hospitalized and feeling vulnerable.
Correct Answer: C
Rationale: Maslow's hierarchy helps nurses prioritize care by addressing physiological needs first, followed by safety, love, esteem, and self-actualization, ensuring patient needs are met in order of urgency.
You enter the room to find your patient ashen and gasping for breath. Which part of the nursing process should you perform, formally or informally, in the first 5 minutes?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
- E. Evaluation
- F. All of the above
Correct Answer: F
Rationale: In an emergency, nurses perform all steps of the nursing process rapidly: assessing the patient's condition, diagnosing the problem, planning immediate actions, implementing interventions, and evaluating their effectiveness.
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.