7. A nursing diagnosis is:
a. The identification of a disease condition based on a specific evaluation of physical signs, symptoms, the client's medical history, and the results of diagnostic tests and procedures
b. The advancement of the development, testing, and refinement of a common nursing language
c. clinical judgment about individual, family or community responses to actual and potential health problems or life processes
d. The diagnosis and treatment of human responses to health and illness
8. You are the nurse assigned to care for a 65-year-old man who has elective surgery to replace and arthritic hip. The client was directly admitted to the surgery unit and is now back in his room on the orthopedic floor several hours after being discharged from the post anesthetic recovery unit.
Which type of planning will be done during this first postoperative shift?
a. Ongoing
b. None of these
c. Discharge
d. Initial
10. The nurse evaluates the outcome criteria of a dying client and discerns that the goal has not been met. Which of the following should the nurse do first?
a. Ask that another nurse take over care of the client
b. Notify the physician immediately
c. Reassess to determine if the nursing diagnosis was appropriate
d. Talk with the client’s family to determine if they have intervened inappropriately
11. Twenty minutes after administering a pain medication to the client, the nurse returns to ask if the client’s level of pain has decreased. The nurse is engaging in which phase of the nursing process?
a. Evaluating
b. Implementing
c. Diagnosis
d. Planning
|