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The nursing diagnosis Impaired Gas Exchange, prioritized by Maslows hierarchy of basic human needs, is appropriate for what level of needs?
- A. physiologic
- B. safety
- C. love and belonging
- D. self-actualization
Correct Answer: A
Rationale: Impaired Gas Exchange relates to breathing, a physiologic need (A), which is the most basic level in Maslow's hierarchy.
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A nurse is developing outcomes for a specific problem statement. What is one of the most important considerations the nurse should have?
- A. that the written outcomes are designed to meet nursing goals
- B. to encourage the patient and family to be involved
- C. to discourage additions by other healthcare providers
- D. why the nurse believes the outcome is important
Correct Answer: B
Rationale: Involving the patient and family (B) is crucial for developing patient-centered outcomes.
A nurse is using a structured care methodology that follows a set of steps based on a clinicians decision process to help standardize nursing care plans. What is the term for this element of a structured care methodology?
- A. algorithm
- B. national guidelines
- C. standard of care
- D. clinical practice guideline
Correct Answer: A
Rationale: An algorithm (A) is a set of steps based on a clinician's decision process to standardize care plans.
Which of the following types of care plans is most likely to enable the nurse to take a holistic view of the patients situation?
- A. Kardex
- B. case management
- C. critical pathways
- D. concept map care plan
Correct Answer: D
Rationale: A concept map care plan (D) visually connects patient data, promoting a holistic view.
Which of the following is an example of a well-stated nursing intervention?
- A. Patient will drink 100 mL of water every 2 hours while awake.
- B. Offer patient 100 mL of water every 2 hours while awake.
- C. Offer patient water when he complains of thirst.
- D. Patient will continue to increase oral intake when awake.
Correct Answer: B
Rationale: A well-stated nursing intervention is nurse-focused and specific, such as offering water every 2 hours (B).
What name is given to tools that are used to communicate a standardized interdisciplinary plan of care for patients within a case management healthcare delivery system?
- A. Kardex care plans
- B. computerized plans of care
- C. clinical pathways
- D. student care plans
Correct Answer: C
Rationale: Clinical pathways (C) are tools used to communicate standardized interdisciplinary care plans.