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Which of the following statements best describes the relationship between nursing diagnosis and medical diagnosis?
- A. The nursing diagnosis confirms the medical diagnosis.
- B. The nursing diagnosis duplicates the medical diagnosis.
- C. There is no relationship between nursing and medical diagnoses.
- D. The nursing diagnosis is based on patient response to the medical diagnosis.
Correct Answer: D
Rationale: Nursing diagnoses address the patient's response to the medical condition, distinct from the medical diagnosis itself.
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A nurse who collected and organized data during a patient history realizes that there is not enough information to plan interventions. Which of the following would be the best remedy to prevent this from happening in the future?
- A. The nurse should practice interviewing strategies.
- B. The nurse should modify data collection tool.
- C. The nurse should determine specific purpose of data collection.
- D. The nurse should review and practice communication techniques.
Correct Answer: A
Rationale: Practicing interviewing strategies improves data collection thoroughness.
Who or what is the primary source of information for a nursing history?
- A. previous medical records
- B. other healthcare personnel
- C. the patient
- D. family members
Correct Answer: C
Rationale: The patient is the primary source for a nursing history, providing firsthand information about their health.
A nurse is collecting information from Mr. Koeppe, a patient with dementia. The patients daughter, Sarah, accompanies the patient. Which of the following statements by the nurse would recognize the patients value as an individual?
- A. Sarah, can you tell me how long your father has been this way?
- B. Sarah, I have to go and read your fathers old charts before we talk.
- C. Mr. Koeppe, tell me what you do to take care of yourself.
- D. Mr. Koeppe, I know you cant answer my questions, but its okay.
Correct Answer: C
Rationale: Addressing the patient directly respects their individuality and encourages their participation.
A nurse is conducting a health history interview for a woman at an assisted-living facility. The woman says, I have been so constipated lately. How should the nurse respond?
- A. Do you have a family history of chest problems?
- B. Why dont you use a laxative every night?
- C. Do you take anything to help your constipation?
- D. Everyone who ages has bowel problems.
Correct Answer: C
Rationale: Asking about current management of the symptom encourages relevant information.
What type of patient record data would the nurse find in the medical history and progress notes?
- A. findings of the physicians assessment and treatment
- B. results of laboratory and diagnostic studies
- C. nursing documentation and plan of care
- D. information from other members of the healthcare team
Correct Answer: A
Rationale: Medical history and progress notes contain physician assessments and treatment plans.