Nokea
What framework does the establishment of priorities of care during the planning phase of the nursing process often use?
- A. Erikson's developmental tasks
- B. Piaget's cognitive table
- C. Maslow's hierarchy of needs
- D. Freud's classifications
Correct Answer: C
Rationale: A useful framework to guide prioritization is Maslow's hierarchy of needs.
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A systemic dynamic way to collect and analyze data about a patient that includes physiologic data as well as psychological sociocultural spiritual economic and lifestyle factors is known as ____
Correct Answer: assessment
Rationale: The American Nurses Association (ANA) defines assessment as 'a systematic, dynamic way to collect and analyze data about a patient, the first step in delivering nursing care. Assessment includes not only physiologic data, but also psychological, sociocultural, spiritual, economic, and lifestyle factors as well.'
What is a patient problem considered when a problem is suspected but data to support it are lacking?
- A. A syndrome patient problem
- B. An actual patient problem
- C. A "risk for" diagnosis
- D. A possible patient problem
Correct Answer: D
Rationale: A possible patient problem requires additional data to confirm a problem or to complete a data cluster so that it can be related to a NANDA-I label.
What best defines the nursing process?
- A. A method to ensure that the health care provider's orders are implemented correctly.
- B. A series of assessments that isolate a patient's health problem.
- C. A framework for the organization of individualized nursing care.
- D. A preset formula for the design of nursing care.
Correct Answer: C
Rationale: The nursing process is a framework by which to organize individualized nursing care.
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.
What is an example of an appropriate patient problem?
- A. Constipation
- B. Patient complains of constipation
- C. Need for laxatives
- D. Patient has a duodenal ulcer
Correct Answer: A
Rationale: Constipation is an example of a patient problem, a patient complaining of constipation is an example of a charting entry, a need for laxatives is an example of a patient need, and a patient has a duodenal ulcer is an example of a medical diagnosis.