A nurse has discovered that a client should be receiving Meals on Wheels. Which of the follow-ing steps of the nursing process is the nurse performing?

a. Diagnosis
b. Planning
c. Assessment
d. Implementation


ANS: C
The Standards of Care and the Standards of Professional Performance both include the six steps of the nursing process: (1) assessment, (2) diagnosis, (3) outcomes identification, (4) planning, (5) implementation, and (6) evaluation. As a nurse performs an assessment, the nurse recognizes the current needs of the client.

Nursing

You might also like to view...

A 72-year-old female is recovering from abdominal surgery on the medical-surgical unit. The surgery was very stressful and prolonged; the nurse notes on the chart that her blood sugars are elevated yet she has not been diagnosed with diabetes

The nurse realizes: A) It is a result of antidiuretic hormone. B) She must have had diabetes prior to surgery. C) She has become a diabetic from the abdominal surgery. D) The blood sugars are probably a result of the "fight or flight" reaction.

Nursing

During an interview with a potential employee, the nurse manager tells the individual that an additional 10 percent of the hourly rate will be paid for working the 11:00 P.M.-7:00 A.M. shift. This increase in the hourly rate is known as:

1. Overtime. 2. Shift differential. 3. Premium. 4. Cost-of-living.

Nursing

A patient is admitted to the ED with an apparent overdose of IV heroin. After stabilizing the patient's cardiopulmonary status, the nurse should prepare to perform what intervention?

A) Administer a bolus of lactated Ringer's. B) Administer naloxone hydrochloride (Narcan). C) Insert an indwelling urinary catheter. D) Perform a focused neurologic assessment.

Nursing

The nurse is providing care to a patient who is terminally ill with lung cancer. During the administration of the prescribed chemotherapy the patient states, "I am ok with this diagnosis as long as I get to see my

daughter graduate from college at the end of the month." Based on this data, which coping mechanism is the patient using? 1) Isolation 2) Denial 3) Depression 4) Bargaining

Nursing