The nursing process consists of four steps. Which of the following is not a formal step of the nursing process?
A. Assessment
B. Planning
C. Observation
D. Evaluation
Answer: C
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A 31-year-old patient tells the nurse that he has noticed pain in his left ear when people speak loudly to him. The nurse knows that this finding:
a. Is normal for people of his age. b. Is a characteristic of recruitment. c. May indicate a middle ear infection. d. Indicates that the patient has a cerumen impaction.
What ethical principle is violated when there are insufficient community resources to meet the needs of low-income families?
a. Nonmaleficence b. Autonomy c. Beneficence d. Justice
Which of the following questions would be most important for the nurse to ask then assessing a child with enuresis?
a. What are the child's and family's feelings toward enuresis? b. Is there a history of constipation or bowel movements that were large or painful? c. Is there a family history of enuresis or encopresis in the last two generations? d. At what age did you toilet-train the child, and how did the toilet training go?
Rabies postexposure immunization is an example of which of the following levels of prevention with regard to infectious disease interventions?
1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 4. Assessment