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21 Cards in this Set

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After assessing a client with a recent spinal cord injury resulting in paralysis from the waist down, the nurse develops a plan of care and records the following nursing diagnosis:
A. Immobility related to paralysis
B. Risk for impaired skin integrity related to immobility
C. Ineffective coping related to depression
D. Impaired gas exchange related to nonfunctioning diaphragm
B
Pain related to hip discomfort from recent hip surgery” is an example of a:
A. Circular statement
B. Nurse-centered problem
C. Client goal
D. Nursing problem
A
In order to develop a nursing diagnosis it is essential that the nurse first perform a(n):
A. Review of systems (ROS)
B. Health history
C. Assessment
D. Evaluation
C
The following is an example of a wellness nursing diagnosis for a client who is obese:
A. Ineffective health maintenance
B. Health-seeking behaviors
C. Risk for imbalanced nutrition: more than body requirements
D. Chronic low self-esteem
B
In order for an actual nursing diagnosis to be valid it must have one or more supporting:
A. Laboratory results
B. Diagnostic data
C. Defining characteristics
D. Medical diagnoses
C
Nursing diagnoses are aimed at identifying client problems that are treatable by _______.
A. The physician
B. The nurse
C. Invasive techniques
D. Complementary strategies
B
Match the following nursing diagnoses with their appropriate type:
Diagnosis Type of Nursing Diagnosis
1. Actual
2. Potential
3. Wellness


1 2 3 A. Deficient diversional activity
1 2 3 B. Self-concept
1 2 3 C. Risk for infection
1,3,2
Which of the following are acceptable North American Nursing Diagnosis Association (NANDA) nursing diagnoses? (Select all that apply.)
A. Anxiety
B. Hopelessness
C. Incontinence
D. Powerlessness
A, B, D
The nurse clusters the following client signs and symptoms to represent the defining characteristics of chronic pain:
A. Elevated pulse and blood pressure
B. Inability to perform activities of daily living (ADLs)
C. Client states is depressed
D. Reports pain in recent surgical incision
B,C
During a community health fair the nurse assesses the following risk factors in an adolescent for sustaining a head injury (select all that apply):
A. Father died of head injuries from an automobile accident.
B. Adolescent does not use seat belts when driving.
C. Adolescent drives home after having a couple of beers with friends.
D. Adolescent participates in soccer whenever possible.
B,C,D
Mind mapping is a nursing diagnosis technique aimed at focusing on the __________ (select all that apply):
A. Nurse
B. Physician
C. Goals
D. Client
E. Outcome
F. Disease
D
A NURSING DIAGNOSIS IS :
A. A CLINICAL JUDGEMENT ABOUT INDIVIDUAL FAMILY, OR COMMUNITY RESPONSES TO ACTUAL AND POTENTIAL HEALTH PROBLEMS OR LIFE PROCESSES
B. THE IDENTIFICATION OF A DISEASE CONDITION BASED ON A SPECIFIC EVALUATION PF PHYSICAL SIGNS, SYMPTOMS, THE CLIENTS MEDICAL HISTORY AND THE RESULTS OF DIAGNOSTIC TESTS AND PROCEDURES
C. THE DIAGNOSIS AND TREATMENT OF HUMAN RESPONSES TO HEALTH AND ILLNESS
D. THE ADVANCEMENT OF THE DEVELOPING TESTING AND REFINEMENT OF A COMMON NURSING LANGUAGE
A CLINICAL JUDGEMENT ABOUT INDIVIDUAL FAMILY OR COMMUNITY RESPONSES TO ACTUAL AND POTENTIAL HEALTH PROBLEMS OR LIFE PROCESS
THIS ORGANIZATION IS THE LEADER IN NURSING DIAGNSOSIS CLASSIFICATION
A. ANA (AMERICAN NURSES ASSOCIATION)
B. AMA (AMERICAN MEDICAL SOCIETY)
C. NANDA (NORTH AMERICAN NURSING ASSOCIATION INTERNATIONAL)
D. AMERICAN NURSES DIAGNOSTIC SOCIETY
C. NANDA (NORTH AMERICA NURSING ASSOCIATION INTERNATIONAL)
ONE OF THE PURPOSES OF THE USE OF STANDARD FORMAL NURSING DIAGNSOTIC STATEMENTS IS TO:
A. GATHER INFORMATION ON PATIENT DATA
B. HELP NURSES TO FOCUS ON THE ROLE OF NURSING IN CLIENT CARE
C. FACILITATE UNDERSTANDING AMONG NURSES AND HEALTH CARE PROVIDERS
D. EVALUATE NURSING CARE
B. HELP NURSES TO FOCUS IN THE ROLE OF NURSING IN CLIENT CARE
CRITICAL THINKING IS:
A. A LANGUAGE TO PROMOTE UNDERSTANDING AMOUNG NURSES ABOUT CLIENTS HEALTH PROBLEMS SO AS TO FACILITATE COMMUNICATION AND CARE PLANNING
B. A PROCESS TO HELP NURSES TO FOCUS ON THE ROLE OF NURSING IN CLIENT CARE
C. A PROCESS TO LIKE NURSING CONTRIBUTIONS TO QUALITY OUTCOMES AND THE ABILITY TO COST OUT NURSING CARE SERVICES
D. AN ACTIVE ORGANIZED COGNITIVE PROCESS USED TO CAREFULLY EXAMINE ONE'S THINKING AND THE THINKING OF OTHERS
D. AN ACTIVE ORGANIZED COGNITIVE PROCESS USED TO CAREFULLY EXAMINE ONES THINKING AND THE THINKING OF OTHERS
THE NURSING DIAGNOSIS: FAMILY COPING: POTENTIAL FOR GROWTH RELATED TO UNEXPECTED BIRTH OF TWINS IS AN EXAMPLE OF:
A. WELLNESS NURSING DIAGNOSIS
B. RISK NURSING DIAGNOSIS
C. POTENTIAL NURSING DIAGNOSIS
D. DIAGNOSTIC NURSING DIAGNOSIS
A. WELLNESS NURSING DIAGNOSIS
THE NURSING DIAGNOSIS: RISK FOR IMPAIRED SKIN INTEGRITY IS AN EXAMPLE OF:
A. WELLNESS NURSING DIAGNOSIS
B. RISK NURSING DIAGNOSIS
C. POTENTIAL NURSING DIAGNOSIS
D. DIAGNOSTIC NURSING DIAGNOSIS
B. RISK NURSING DIAGNOSIS
THE WORK IMPAIRED IN THE DIAGNOSIS IMPAIRED PHYSICAL MOBILITY IS AN EXAMPLE OF;
A. RELATED FACTOR
B. NURSING DIAGNOSIS
C. RISK FACTOR
D. DESCRIPTOR
D. DESCRIPTOR
THE NURSE USING AUSCULTATION TO OBTAIN A PULSE THIS IS AN EXAMPLE OF A (AN)
A. SUBJECTIVE MEASUREMENT
B. RELATED FACTOR
C. OBJECTIVE MEASUREMENT
D. RISK NURSING DIAGNOSIS
C. OBJECTIVE MEASUREMENT
A PRACTICE TO AVOID DATA COLLECTION ERRORS IS:
A. THE NURSE WHO AUSCULATES ABNORMAL LUNG SOUNDS IS UNSURE OF WHAT IS BEING HEARD THROUGH THE STETHESCOPE SO SHE ASKS HER CO-WORKER TO LISTEN TO HER CLIENTS LUNGS
B. AFTER DOING AN ASSESSMENT THE NURSE CRITICALLY REVIEWS HIS OR HER LEVEL OF COMFORT AND COMPETENCE WITH INTERVIEW AND PHYSICAL ASSESSMENT SKILLS
C. THE NURSES CLIENT ASSESSMENTS VARY DEPENDING ON WHICH PART OF THE ASSESSMENT SHE REMEMBERS TO DO FIRST
D. THE NURSE ASKS HER COLLEAGUE TO CHART HER ASSESSMENT DATA
A. THE NURSE WHO AUSCULATES ABNORMAL LUNG SOUNDS IS UNSURE OF WHAT IS BEING HEARD THROUGH THE STETHESCOPE SO SHE ASKS HER CO-WORKER TO LISTEN TO HER CLIENTS LUNGS
UNHAPPY AND WORRIED ABOUT HEALTH IS NOT A SCIENTIFICALLY BASED DIAGNOSIS AND IT CAN LEAD TO ERROR IN
A. DATA COLLECTION
B. DIAGNOSTIC STATEMENT
C. MEDICAL DIAGNOSIS
D. DATA CLUSTERING
B. DIAGNOSTIC STATEMENTS