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Fundamentals of Nursing

Review Questions

Fundamentals of NursingReview Questions

Review Questions

1 .
What clinical decision framework includes these five steps: assessment, analysis, planning, implementation, and evaluation?
  1. Tanner model
  2. nursing process
  3. Clinical Judgment Measurement Model (CJMM)
  4. NANDA model
2 .
What is the term for designated words and phrases that make up a common system of classification, such as the NANDA nursing diagnoses?
  1. dictionary
  2. reference
  3. taxonomy
  4. glossary
3 .
When a nurse is determining whether an outcome was met, partially met, or not met, which one of the six cognitive skills are they utilizing?
  1. taking action
  2. evaluating outcomes
  3. recognizing cues
  4. analyzing cues
4 .
Step three of Tanner’s Clinical Judgement Model is responding. With what step of the Clinical Judgment Measurement Model (CJMM) does responding correlate?
  1. recognizing cues
  2. analyzing cues
  3. interpreting cues
  4. taking action
5 .
Step one of Tanner’s Clinical Judgement Model is noticing. With what step of the Clinical Judgment Measurement Model (CJMM) does noticing correlate?
  1. recognizing cues
  2. analyzing cues
  3. interpreting cues
  4. observing cues
6 .
How do nursing diagnoses differ from medical diagnoses?
  1. Nursing diagnoses are concerned with bodily functions such as ingestion and elimination.
  2. Nursing diagnoses are concerned with the physical aspect of caring for patients.
  3. Nursing diagnoses are concerned with the human response to health conditions.
  4. Nursing diagnoses are a subset of medical diagnoses.
7 .
To avoid making a diagnostic error or fail to identify a response as unhealthy, what must the nurse incorporate when interpreting and analyzing data?
  1. the nurses’ opinion
  2. evidence-based comparative standards
  3. the patient’s opinion
  4. the least expensive option
8 .
What term is not included when developing SMART goals?
  1. achievable
  2. specific
  3. realistic
  4. untimed
9 .
The foundational steps for incorporating clinical decision-making for patient care are to predict, prevent, manage, and promote (PPMP). What is an example of the “promote” step?
  1. monitoring vital signs every four hours as ordered
  2. administering a yearly flu vaccine
  3. placing the call light within the patient’s reach before leaving the room
  4. providing the patient with a list of condition-appropriate foods to enhance knowledge
10 .

Using the following information, what NANDA-I-approved category should the nurse consider when developing a nursing diagnosis for the following patient?

The patient comes to the emergency department with signs and symptoms of an MI (heart attack).

  1. problem-focused
  2. risk for
  3. health promotion
  4. syndrome-based
11 .

Using the following information, what NANDA-I-approved category should the nurse consider when developing a nursing diagnosis for the following patient?

The patient is planning to be discharged home and wants to practice changing their wound care dressing one more time to make sure they fully understand.

  1. problem-focused
  2. risk for
  3. health promotion
  4. syndrome-based
12 .

Using the following information, what NANDA-I-approved category should the nurse consider when developing a nursing diagnosis for the following patient?

The patient is 86 years old with macular degeneration. His wife must go home tonight to rest, and this will be his first time being alone in the hospital at night.

  1. problem-focused
  2. risk for
  3. health promotion
  4. syndrome-based
13 .

Using this information, what NANDA-I-approved category should the nurse consider when developing a nursing diagnosis for the following patient?

The patient is a young woman attending college and goes to see the campus clinic because she was raped the evening before.

  1. problem-focused
  2. risk for
  3. health promotion
  4. syndrome-based
14 .
What is the highest priority according to the ABCs of nursing?
  1. emotional support
  2. social interaction
  3. airway maintenance
  4. pain management
15 .
How does a nurse differentiate between actual and potential problems?
  1. by assessing the severity of symptoms
  2. by considering patient preferences
  3. by focusing on chronic conditions
  4. by analyzing the patient's emotional state
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