this patient? Formulate nursing diagnoses b. a. Order the appropriate laboratory tests C. Identify the patient's problems d. Notify the physician of your findings ANSWER: RATIONALE: 6. What is pivotal...

Extracted text: this patient? Formulate nursing diagnoses b. a. Order the appropriate laboratory tests C. Identify the patient's problems d. Notify the physician of your findings ANSWER: RATIONALE: 6. What is pivotal to determining how to move from each patient problem to its goals? Your clinical reasoning process Your positive interpretation of the patient's history Your process in collecting physical data d. Your evaluation as an accurate historian of the patient a. b. с. ANSWER: RATIONALE: 7. As the nurse caring for a patient you have completed the collection of the subjective data. On what do you base your decision to do an entire head-to-toe physical assessment or a systems-specific assessment? The patient's answers b. а. Observable signs and symptoms Your knowledge base and expertise d. The patient's chief complaint ANSWER: RATIONALE: С. 8. For each patient problem you identify you develop and record a plan. What must your plan do? (Mark all that apply.) a. Begin discharge planning b. Include referral to dietician c. Flow logically from identified diagnoses d. Specify which steps are needed next e. Identify timing of family involvement ANSWER: RATIONALE: 9. Your patient tells you that his chief complaint is “fatigue." When obtaining the patient history, what additional information might you want to elicit to try and pinpoint the patient's "real problem"? a. More information regarding family history b. More information regarding secondary complaints c. More information regarding laboratory data d. More information regarding psychosocial issues ANSWER: