The third step of the nursing process encompasses planning and
a. assessment c. diagnosis
b. evaluation d. outcome identifica-tion
D
The third step of the nursing process encompasses outcome identification and planning. Assessment is the first step; diagnosis is the second step; evaluation is the last step.
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Health promotion activities stress the importance of
a. Illness management b. Wellness management c. Weight loss d. Exercise
The client complains of pain, and tells the nurse that the last time he got pain medication, it was dark outside
The nurse checks the medical record and sees that the day shift nurse documented administering an injection of narcotic analgesics twice during the day. The client's wife says she was with him all day and he never received an injection. The nurse's priority action is to: 1. Call the Board of Nursing to notify them of falsification of records. 2. Notify the nursing supervisor immediately of the situation. 3. Call the day shift nurse to ask if the medication was actually given. 4. Complete an incident report.
Which of the following is a holistically based nursing intervention for the nursing diagnosis Impaired Gas Exchange related to immobility?
A) Teach and encourage turning B) Feed in the sitting position C) Apply oxygen as needed D) Demonstrate signs of adequate respiration
When teaching clients about the newer, "atypical" antipsychotic medications, the nurse evaluates whether the clients have correctly learned that as a group these medications:
a. are not all alike in how they work and which side effects they produce b. are newer, more receptor-site-selective versions of the older "classical" antipsychotics c. are cheaper to purchase than the older "classical" antipsychotics d. are all virtually free of serious adverse effects when taken correctly