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What organized approach might the nurse use when performing a complete physical examination?
- A. Maslow's hierarchy of needs
- B. A head-to-toe assessment
- C. Subjective data collection
- D. Objective data collection
Correct Answer: B
Rationale: A head-to-toe format provides a systematic approach.
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Which are official categories of patient problems?
- A. Actual
- B. Risk
- C. Wellness
- D. Syndrome
- E. Potential
Correct Answer: A,B,C,D
Rationale: Actual, risk, wellness, and syndrome are the four categories of patient problems.
When the nurse is prioritizing care during the planning phase of the nursing process what is the guiding framework?
- A. Primary
- B. Secondary
- C. Unreliable
- D. Biased
Correct Answer: B
Rationale: Secondary sources include family members.
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.'
In which phase of the nursing process does the nurse select interventions to assist the patient to meet the needs demonstrated?
- A. Assessment
- B. Planning
- C. Implementation
- D. Evaluation
Correct Answer: B
Rationale: During the planning phase, the nurse connects nursing interventions to nursing orders.
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.