Nokea
What expected outcome exemplifies accepted criteria?"
- A. Nurse will assess vital signs every day
- B. Resident will observe safety guidelines while smoking
- C. Resident will take part in one activity daily for the next 90 days
- D. Nurse will monitor O2 saturation to maintain at greater than 90%
Correct Answer: C
Rationale: Expected outcomes must be patient-centered, measurable, and refer to a time frame.
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A patient with a urinary tract infection is assessed using a clinical pathway. When a projected outcome is not met by a predetermined date it is determined that what has occurred?
- A. Omission
- B. Variance
- C. Failure
- D. Error
Correct Answer: B
Rationale: A variance occurs when a projected outcome is not met.
Which are acceptable secondary sources for data?
- A. Patient
- B. Family members
- C. Other health professionals
- D. Diagnostic reports
- E. Textbooks
Correct Answer: B,C,D,E
Rationale: A patient is not a secondary source. The patient is the primary data source.
The identification of a disease or condition by a scientific evaluation of physical signs symptoms history laboratory tests and procedures is known as a ____ diagnosis.
Correct Answer: medical
Rationale: A medical diagnosis is the identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory tests, and procedures.
NANDA International meets to reorganize diagnosis labels and language every 2 ____
Correct Answer: years
Rationale: NANDA International meets every two years to revise language, form, and diagnosis labels.
During an admission assessment the nurse collects objective and subjective data. What is an example of subjective data?
- A. The patient is asleep.
- B. The patient is tearful.
- C. The patient has facial grimacing.
- D. The patient states "I hurt all over."
Correct Answer: D
Rationale: Subjective data are the verbal statements provided by the patient. Statements about nausea and descriptions of pain, fatigue, and anxiety are examples of subjective data. Stating 'I hurt all over' is an example of subjective data. All other options are examples of objective data.