Reference no: EM133851053

Question

1. What is the purpose of assessment?

a. To make a diagnostic conclusion.
b. To delegate nursing responsibility.
c. To teach the client about his or her health.
d. To establish a database concerning the client.

2. During data clustering, the nurse performs which of the following?

a. Provides documentation of nursing care.
b. Reviews data with other health care providers.
c. Makes inferences about patterns of information.
d. Organizes cues into patterns that lead to identification of nursing diagnoses.

3. What type of interview technique are you using when you ask the question, "Do you have pain or cramping?"

a. Active listening.
b. Open-ended questioning.
c. Closed-ended questioning.
d. Problem-oriented questioning.

4. Which of the following is subjective information to be entered in the client's medical record?

a. Skin warm and dry.
b. Pain intensity 8 out of 10.
c. Breath sounds clear to auscultation.
d. Amber urine is sufficient quantities.

5. Which of the following is objective information to be recorded in the client's medical record?

a. Anxious over upcoming test.
b. Increasing stress over past two months.
c. Performs breast self-examination monthly.
d. Voided 250 mL of clear yellow urine.

6. Which of the following is an open-ended question the nurse might use when interviewing a client?

a. "Do you have any concerns right now?"
b. "Is your family worried about you being in the hospital?"
c. "What do you mean when you say, 'I don't feel quite right?"
d. "How many times do you get up to go top the bathroom at night?"

7. The nursing diagnosis "hypothermia" is an example of which of the following?

a. Risk nursing diagnosis.
b. Actual nursing diagnosis.
c. Potential nursing diagnosis.
d. Wellness nursing diagnosis.

8. In the examples given below, which nurse is acting to avoid a data collection error?

a. The nurse asks her colleague to chart her assessment data.
b. The nurse considers conflicting cues in checking on the correct nursing diagnosis.
c. The nurse who assesses the edema in a client's lower leg is unsure of its severity and asks her co-worker to check it with her.
d. After performing an assessment, the nurse critically reviews his own level of comfort and competencies with interviewing and physical assessment skills.

9. A client was in pain following surgery. The nurse administered the prescribed analgesics, but the client's pain rating stayed the same (8 out of 10). What should the nurse recognize?

a. The pain plan needs changing.
b. The client is overrating the pain.
c. The client has a low pain tolerance.
d. Nonpharmacological pain-relieving strategies are now appropriate.

10. A client-centered goal is a specific and measurable behaviour or response that reflects which of the following?

a. The agency's goal for a client with a similar problem.
b. The client's desire for specified health care interventions.
c. The client's response compared with that of another client with a similar problem.
d. The client's highest possible level of wellness and independence in function.