Review Questions
1
.
What is the emphasis for nurses during the implementation phase of the nursing process?
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carrying out the established care plan
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developing a new care plan for the patient
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systematically determining the effectiveness of the care plan
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focusing on the patient’s emotional well-being
2
.
What example demonstrates ongoing assessment during the implementation phase of the nursing process?
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planning a patient’s future healthcare appointments
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documenting a patient’s health history during their initial visit
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evaluating the effectiveness of hospital-wide policies on a patient’s care
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monitoring a patient’s pain levels and response to medication after surgery
3
.
What skill is essential during the implementation phase of the nursing process?
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expertise in insurance policies
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proficiency in critical thinking
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experience managing a care team
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ability to conduct diagnostic tests
4
.
What two categories of patient care are included in the implementation phase of the nursing process?
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direct and indirect
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actual and potential
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dependent and independent
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physiological and psychological
5
.
What type of intervention requires a provider's order before a nurse can perform it?
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collaborative
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dependent
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independent
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interdependent
6
.
A nursing intervention aimed at preventing bedsores in a bedridden patient is focusing on what type of problem?
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actual
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collaborative
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independent
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potential
7
.
According to the ABC framework for prioritizing nursing interventions, what type of problem should a nurse address first?
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airway
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breathing
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circulation
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pain
8
.
When delegating nursing interventions, what factor is important to consider?
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time of day
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age of the patient
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competencies of the person receiving the delegation
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educational background of the person delegating the task
9
.
What is the primary purpose of the evaluation phase in the nursing process?
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to diagnose the patient’s condition
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to determine the effectiveness of care
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to introduce new nursing interventions
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to plan the initial nursing interventions
10
.
For what reason does the nurse need to think about continuity of care during the evaluation phase?
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It is when patients are initially assessed.
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It is when patients are prepped for surgery.
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It is when patients learn about their condition.
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It is when patients transition out of the facility.
11
.
How should nurses evaluate the plan of care?
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by delegating tasks to appropriate staff
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by quizzing the patient about their condition
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by determining whether goals have been met
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by ending interventions that are no longer needed
12
.
A patient has been taking medication to alleviate symptoms, and the care team determines the patient no longer has symptoms. What conclusion should the care team draw about this intervention?
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Delegate it.
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Terminate it.
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Continue administering it.
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Revise it to be more effective.
13
.
In quality assurance programs, what do structure evaluations primarily assess?
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how a healthcare system or provider delivers care
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the results of health care on patients and populations
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the characteristics of a healthcare system or provider
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whether patients are satisfied or dissatisfied with care
14
.
What would be the most likely focus of a quality improvement initiative by a healthcare provider?
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reducing costs
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using data to support decisions
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preparing nurses to service more patients
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standardizing processes for all patient populations
15
.
What is the primary purpose of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)?
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to document patient perspectives on hospital care
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to measure the financial performance of hospitals
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to determine the effectiveness of quality initiatives
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to evaluate the technical skills of healthcare providers
16
.
The National Database of Nursing Quality Indicators (NDNQI) is instrumental for what process?
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providing a platform for nursing education and research
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assisting in the regulatory compliance of healthcare facilities
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facilitating the monitoring and improvement of nursing practices
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guiding the financial management decisions in nursing departments
17
.
The nurse is caring for a patient and preparing to document during the implementation phase. What essential information about the patient’s care will the nurse include at this phase?
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only the patient's initial diagnosis
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general descriptions of the patient’s mood
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detailed and accurate records of care provided
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only the medications administered to the patient
18
.
The nurse is doing a quality review of documentation to ensure entries are comprehensive and legally compliant. What piece of documentation would the nurse identify as fulfilling this goal?
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“Patient seems to be feeling better today.”
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“Administered medication, patient did not comment.”
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“Patient complained about pain but I’m not sure what to do about it.”
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“Patient reports a decrease in pain from 7 to 4 on the pain scale after medication.”
19
.
What is a rule for using abbreviations in nursing documentation?
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Use abbreviations as often as possible.
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Use only abbreviations that are approved.
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Use only abbreviations for medical jargon.
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Use abbreviations that the patient recognizes.
20
.
The nurse is advocating for the hospital where they work to use source-oriented documentation. What benefit could they highlight?
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It reduces the need for nurses to document routine care.
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It highlights specific problems, interventions, and outcomes.
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It allows for easier identification of information by discipline.
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It consolidates all patient information into a single, unified document.
21
.
What is an example of problem-oriented documentation?
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a narrative note by a nurse
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a record of a patient’s vital signs
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a flow sheet of a patient’s key data
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a PIE note assessing a specific intervention