1. A client comes into the clinic for a complete physical examination. The nurse obtains a health history and determines the client is at risk for heart disease. Which of the following would lead the nurse to believe this?
Father died of a heart attack at age 40.
Client is 25 years old.
Client works as a carpet salesman
Client lives near a chemical plant.
2. All of the following statements are true about Nursing Interventions Classification except:
Interventions are individualized or customized
It is linked with NANDA diagnosis
It is a taxonomy of nursing interventions
It consists of label, definition, activities
3. The nurse implements the intervention she prepared for a diabetic client on planning for an alternative meal to high caloric food. However, the nurse forgot to provide the client with a pamphlet – nutritional values for client’s reference. What resources did the nurse miss prior to implementing care?
Need for more nurses
Nurse’s ability to solve problem
Necessary Supplies and/or equipment
None of these
4. You were assigned by the head nurse to discuss planning of nursing process to the newly hired nurses. During discussion, you mentioned that a well formulated, and client centered goal should include the client’s need for:
Addressing immediate needs
Rehabilitation
Restoration
All of these
5. The primary purpose of evaluating phase of the care process is to determine whether the?
Client’s condition has changed
Desired outcomes have been met
Nursing activities were effective
Nursing activities were carried out