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Quizzes Created: 1|Total Attempts: 4,353
Questions: 10|Attempts: 4,357|Updated: Aug 22, 2023
List the 6 steps to the nursing process The book only has 5 but Saberman lists 6 in her slides... (Hint : ADOPIE)
Explanation The correct answer is assessment, diagnosis, outcome, planning, implementation, evaluation. This answer aligns with the nursing process, which is a systematic method used by nurses to provide patient-centered care. Assessment involves collecting data about the patient's health status. Diagnosis involves analyzing the data to identify the patient's health problems. Outcome involves setting goals for the patient's desired health outcomes. Planning involves developing a care plan to achieve the goals. Implementation involves carrying out the care plan. Evaluation involves assessing the effectiveness of the care provided and making any necessary adjustments.
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2.
During a shift change in nursing or discussing patient information with a provider it is important to understand and utilize the SBAR . Please state what each letter stands forS-B-A-R
Explanation The acronym SBAR stands for Situation, Background, Assessment, and Recommendations. During a shift change or when discussing patient information with a provider, it is crucial to follow this communication framework. The situation refers to the current status or condition of the patient, while the background provides relevant information about the patient's medical history and previous events. The assessment involves the healthcare professional's evaluation and analysis of the patient's condition. Finally, recommendations are suggested actions or plans for further care or treatment. Utilizing SBAR ensures effective and organized communication, promoting patient safety and continuity of care.
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3.
A nurse receives a new patient for their shift. Mrs. Jones has some issues she would like to discuss with her new nurse. The first step to the nursing process is to collect data, discuss health history, and interview. This is the ________ step of the nursing process.
A.
Implementation
B.
Diagnosis
C.
Planning
D.
Outcome
E.
Assessment
Correct Answer
E. Assessment
Explanation The correct answer is Assessment. In the nursing process, the first step is to collect data, discuss health history, and interview the patient. This step is called assessment, where the nurse gathers information about the patient's current health status, past medical history, and any concerns or issues they may have. This information is essential for the nurse to develop a comprehensive understanding of the patient's needs and to plan appropriate care.
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4.
A patient is complaining about soreness on her hip near her bone. The nurse takes a look and notices a large sore. The nurse begins to identify cues and comparing them to medical definitions/characteristics. After identifying these related factors the provider has decided that this patient has most likely has a bed sore. This is the _____step of the nursing process
A.
Assessment
B.
Implementation
C.
Diagnosis
D.
Outcome
E.
Planning
F.
Evaluation
Correct Answer
C. Diagnosis
Explanation The nurse is using the process of identifying cues and comparing them to medical definitions/characteristics to determine the patient's condition. This process is known as diagnosis, where the nurse analyzes the data collected during the assessment phase to identify the patient's health problem or condition. In this case, the nurse has determined that the patient most likely has a bed sore based on the identified cues and medical knowledge.
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5.
A patient has been diagnosed with a bed sore and the nurses duty is to discuss what a bed sore is and how the he/she can help with the healing process. The nurse should also discuss how much time this will take to heal and what should be expected in that time frame. This is the ________ step of the nursing process
A.
Outcome
B.
Diagnosis
C.
Assessment
D.
Planning
E.
Evaluation
F.
Implementation
Correct Answer
A. Outcome
Explanation The correct answer is "Outcome" because in this step of the nursing process, the nurse discusses the expected results or outcomes of the treatment plan with the patient. In this case, the nurse would discuss the expected healing process, the time it will take to heal, and what the patient should expect during that time frame. By discussing the outcome, the nurse can help the patient understand what to expect and work towards achieving the desired result.
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6.
After a nurse discovers a bed sore on a patient and develops outcomes, he/she will establish priorities and determine next steps. This is the ______ step of the nursing process
A.
Outcome
B.
Diagnosis
C.
Assessment
D.
Planning
E.
Evaluation
F.
Implementation
Correct Answer
D. Planning
Explanation After a nurse discovers a bed sore on a patient and develops outcomes, the next step is to establish priorities and determine the next steps. This step is known as planning in the nursing process. In this step, the nurse will create a plan of care for the patient, which may include interventions to address the bed sore, as well as any other identified issues or concerns. Planning involves setting goals, determining the appropriate interventions, and prioritizing the actions that need to be taken to provide effective care for the patient.
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7.
When a patient is diagnosed with a bed sore and establishes outcomes and the healing plan is discussed and documented the nurse should be putting this plan into action. In order to do so he/she may have to collaborate with other teams to help resolve this issue. For instance, depending on the bed sore the patient may need to see a specialist and therefor might need a referral. This is the ______ step of the nursing process
A.
Diagnosis
B.
Planning
C.
Outcome
D.
Implementation
E.
Evaluation
F.
Assessment
Correct Answer
D. Implementation
Explanation The correct answer is implementation. After the diagnosis and planning stages, the nurse needs to put the healing plan into action, which involves collaborating with other teams and potentially referring the patient to a specialist. This step is known as implementation in the nursing process.
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8.
A patient has had a bed sore for 3 weeks now and it is the nurses duty to check the progression. This is the ____ step to the nursing process
A.
Assessment
B.
Outcome
C.
Diagnosis
D.
Evaluation
E.
Planning
F.
Implementation
Correct Answer
D. Evaluation
Explanation The correct answer is Evaluation. In the nursing process, evaluation is the step where the nurse assesses the patient's progress and determines if the desired outcomes have been achieved. In this scenario, the nurse is checking the progression of the bed sore, which involves evaluating the effectiveness of the treatment and determining if any changes or adjustments need to be made.
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9.
When passing off information to the next nurse for the upcoming shift, what information should be included in the report. Select all that apply
A.
Patient Identification
B.
Do not pass report to oncoming nurse
C.
Diagnosis Identification
D.
Patient response to treatment
E.
Treatment Plan
F.
Your personal opinion about the patient
Correct Answer(s)
A. Patient Identification C. Diagnosis Identification D. Patient response to treatment E. Treatment Plan
Explanation When passing off information to the next nurse for the upcoming shift, it is important to include patient identification to ensure the correct patient is being discussed. Diagnosis identification should also be included to provide the oncoming nurse with an understanding of the patient's condition. Patient response to treatment is crucial information that should be shared to track progress and make any necessary adjustments. The treatment plan should also be communicated to ensure continuity of care. However, personal opinions about the patient should not be included in the report as it is subjective and may not be relevant to the next nurse's assessment and care.
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10.
A nurse documents a patient to have neonatal jaundice. This is an example of a nursing diagnosis
A.
True
B.
False
Correct Answer
A. True
Explanation Neonatal jaundice refers to the yellowing of a newborn's skin and eyes due to an excess of bilirubin in the blood. It is a common condition in newborns and requires monitoring and management by healthcare professionals, including nurses. Therefore, documenting a patient to have neonatal jaundice is an example of a nursing diagnosis.
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