The nurse is aware that it is most important to be accurate in which portion of the nursing process?
1. Evaluation
2. Assessment
3. Diagnosis
4. Planning
2
Rationale 1: While accuracy in evaluation is important, it is more important to be accurate in a different step of the nursing process.
Rationale 2: Assessment is the basis for the development of the rest of the steps of the nursing process. While the nurse always strives to be accurate, inaccuracies in assessment will translate as inaccuracies in the remaining steps.
Rationale 3: While accuracy in diagnosis is important, it is more important to be accurate in a different step of the nursing process.
Rationale 4: While accuracy in planning is important, it is more important to be accurate in a different step of the nursing process.
Global Rationale: Assessment is the basis for the development of the rest of the steps of the nursing process. While the nurse always strives to be accurate, inaccuracies in assessment will translate as inaccuracies in the remaining steps. While accuracy in evaluation, diagnosis, and planning is important, it is more important to be accurate in assessment.
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The nurse assessing a patient with a somatoform disorder is most likely to note that the patient:
a. rarely derives any personal benefit from the physical symptoms. b. readily sees a connection between symptoms and unresolved conflicts. c. usually is able to talk readily about feelings and emotional needs. d. has alterations in comfort and activities related to physical complaints.
Physiologic risk factors for elimination problems are explored in what nursing function?
A) Physical assessment B) Health history C) Genetic history D) Initial assessment
A client is prescribed a mechanical soft diet. When preparing the diet at home, what should the nurse emphasize to the family?
a. Avoid meats which could cause choking or aspiration b. Add extra salt and fat to improve the taste of the foods c. Add extra fiber to prevent the material from becoming too soft d. Include all food groups in the diet to assure that it is nutritionally adequate
The nurse teaching a man with a new prescription for Viagra (sildenafil) about his medication would include which of the following priority teaching points?
A) Additional doses may be taken if the medication's effects end too soon. B) It may take up to one hour before the effects of the drug are evident. C) Respiratory distress is a common but serious side effect of the drug. D) Call the physician if erection lasts more than 24 hours.