Which is the step of the nursing process in which the nurse determines the appropriate interventions for the identified nursing diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A
The third step in the nursing process involves planning care for problems that were identified during assessment. The evaluation phase is determining whether the goals have been met. During the assessment phase, data are collected. The intervention phase is when the plan of care is carried out.
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A client recently diagnosed with systemic lupus erythematosus (SLE) is in the clinic for a follow-up visit. The nurse evaluates that the client practices good self-care when the client makes which statement?
a. "I always wear long sleeves, pants, and a hat when outdoors." b. "I try not to use cosmetics that contain any type of sunblock." c. "Since I tend to sweat a lot, I use a lot of baby powder." d. "Since I can't be exposed to the sun, I have been using a tanning bed."
A child who is able to use a systematic, scientific problem-solving approach is in which of Piaget's stages of cognitive development?
a. Sensorimotor b. Preoperational thought c. Formal operational thought d. Concrete operational thought
After the nurse has identified the infant's caloric needs for the day, the nurse is concerned about how much fluid the same infant will need for the day. The infant will require ____________________ to 810 milliliters (mL) of fluid per day
Fill in the blank(s) with correct word
A client is diagnosed with bipolar disorder and admitted to an inpatient psychiatric unit. Which is the priority outcome for this client?
A. The client will accomplish activities of daily living independently by discharge. B. The client will verbalize feelings during group sessions by discharge. C. The client will remain safe throughout hospitalization. D. The client will use problem-solving to cope adequately after discharge.