The five steps of the nursing process, in the correct order, are:
1. data collection, nursing diagnosis, planning, intervention, and evaluation.
2. assessment, planning, documentation, intervention, and evaluation.
3. data collection, diagnosis, assessment, planning, and evaluation.
4. history, physical, diagnosis, intervention, and evaluation.
1
The nursing process is a systematic method of providing care to patients. Each phase is de-pendent on the other phases.
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A nurse is caring for a 10-year-old boy with a nursing diagnosis of disturbed thought processes related to anxiety. What is the priority nursing intervention to help improve thought processes?
A) Adjust communication style based on child's cues. B) Provide validation of the child's thoughts and feelings. C) Perform an age-appropriate mental status examination. D) Establish a daily routine.
A client who experienced a pulmonary embolus is receiving heparin therapy. The client will now also start receiving sodium warfarin (Coumadin). When the client asks the nurse why both me-dications are being given, the best response by the nurse is
a. "It takes several days for the warfarin to become therapeutic." b. "Most clients go home on both drugs for maximal treatment." c. "The heparin is not working to dissolve the blood clot, so we are adding warfa-rin." d. "You are right to ask. You are at increased risk of bleeding with both drugs."
The client asks the nurse what the purpose of amniocentesis is, and the nurse responds that amniocentesis is performed in order to:
A) analyze chemicals and chromosomes of fetal cells. B) analyze fetal position and presentation. C) determine estimated due date. D) determine fetal growth and development.
Which of the following assignments should the new nurse question before accepting?
a. A 38-year-old man with cellulitis of the right arm b. A 25-year-old woman with a left femur fracture c. A charge nurse over the unit for the day d. A 50-year-old man with right hip re-placement