The preceptor is reviewing the effective use of the nursing process with a new nurse. Which statement by the nurse indicates an understanding of the information?
A. "The correct order of the nursing process is assessment, diagnosis, planning, implementation, and evaluation."
B. "The correct order of the nursing process is diagnosis, assessment, planning, implementation, and evaluation."
C. "The correct order of the nursing process is assessment, planning, diagnosis, implementation, and evaluation."
D. "The correct order of the nursing process is planning, assessment, diagnosis, implementation, and evaluation."
Answer: A
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A) "This vaccine lowers my risk for cervical cancer." B) "I will still need to have routine screening for cervical cancer." C) "I am at lower risk for developing cervical warts." D) "This vaccine will prevent human papilloma virus (HPV) from occurring."
A client states, "Everyone is out to get me. They are trying to get into my head. They are watching me." The nurse suspects which type of schizophrenia?
A) Catatonic B) Disorganized C) Paranoid D) Undifferentiated
A female patient presents to the emergency department with complaint of chest pain. Which findings would raise the nurse's suspicion that the chest pain is of cardiac origin?
1. The patient has 2+ edema in her ankles. 2. The patient has bilateral xanthomas. 3. The chest pain is described as a "burning" in the center of the chest that is worse when supine. 4. The patient has an S3 heart sound. 5. The patient has a dull humming sound just below the xiphoid process.
A client with polycystic ovarian syndrome (PCOS. is receiving oral contraceptives as part of her treatment plan. The nurse understands that the rationale for this therapy is to:
A) Restore menstrual regularity B) Induce ovulation C) Improve insulin uptake D) Alleviate hirsutism