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What is the focus of a diagnostic statement for a collaborative problem?
- A. the patient problem
- B. the potential complication
- C. the nursing diagnosis
- D. the medical diagnosis
Correct Answer: B
Rationale: Collaborative problems focus on potential complications that require both nursing and medical interventions to manage.
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After completing assessments, a nurse uses the data collected to identify appropriate nursing diagnoses for a patient. What are the nursing diagnoses used for?
- A. selecting nursing interventions to meet expected outcomes
- B. establishing a database of information for future comparison
- C. mutually establishing desired outcomes of the plan of care
- D. evaluating the effectiveness of the established plan of care
Correct Answer: A
Rationale: Nursing diagnoses guide the selection of interventions to achieve expected outcomes, as they provide a framework for addressing patient needs.
A student identifies Fatigue as a health problem and nursing diagnosis for a patient receiving home care for treatment of metastatic cancer. What statement or question would be best to validate this patient problem?
- A. I have assessed you and find you are fatigued.
- B. I analyzed and interpreted your information as fatigue.
- C. Why are you so tired all the time?
- D. I think fatigue is a problem for you; do you agree?
Correct Answer: D
Rationale: Asking the patient to confirm fatigue validates the diagnosis collaboratively with the patient.
Of all the benefits of using nursing diagnoses, which one is probably the most important to nurses?
- A. defining the domain of nursing practice
- B. informing patients of their care
- C. improving communication among nurses
- D. structuring curricular content
Correct Answer: C
Rationale: Improved communication among nurses is a key benefit, as nursing diagnoses provide a standardized language for care.
Which of the following statements accurately describe the legal responsibility of the nurse making a diagnosis for a patient?
- A. The nurse may make a diagnosis, but the physician is responsible for making sure it is appropriate for the patient.
- B. The nurse practitioner is responsible for making all nursing diagnoses and determining if they are appropriate for the patient.
- C. The nurse must decide if he or she is qualified to make a nursing diagnosis and will accept responsibility for treating it.
- D. The healthcare facility directs the nursing diagnosis in order to receive payment for services performed.
Correct Answer: C
Rationale: Nurses are legally responsible for ensuring they are qualified to make a nursing diagnosis and for the treatment that follows, as it falls within their scope of practice.
Which of the following are examples of nursing responsibilities? Select all that apply.
- A. recognizing the signs and symptoms of pancreatitis when it presents in a patient
- B. making a diagnosis of uterine cancer following diagnostic testing
- C. referring a patient diagnosed with lung cancer to a smoke-cessation group
- D. researching and prescribing medication for an adolescent with uncontrolled asthma
- E. performing range-of-motion exercises on an elderly patient who is in a wheelchair
- F. teaching a group of high school students about the dangers of having unprotected sex
Correct Answer: A,C,E,F
Rationale: Nursing responsibilities include recognizing symptoms, referring patients, performing exercises, and educating, but not diagnosing cancer or prescribing medications, which are medical roles.