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Fundamentals of Nursing Chapter 11 with 100% correct answers

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Fundamentals of Nursing Chapter 11 with 100% correct answers

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  • August 3, 2024
  • 14
  • 2024/2025
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Fundamentals of Nursing Chapter 11

Which of the following behaviors is most representative of the "nursing diagnosis" phase of the nursing
process?



A: Identifying major problems or needs

B: Organizing data in the client's family history

C: Establishing short-term and long-term goals

D: Administering an antibiotic - correct answer ✔✔A: Identifying major problems or needs



Which of the following behaviors would indicate that the nurse was utilizing the assessment phase of the
nursing proess to provide nursing care?



A: Proposes hypotheses

B: Generates desired outcomes

C: Reviews results of laboratory tests

D: Documents care - correct answer ✔✔C: Reviews results of laboratory tests



Which of the following elements is best characterized as secondary subjective data?



A: The nurse measures a weight loss of 10 lbs since the last clinic visit

B: Spouse states the client has lost all appetite

C: The nurse palpates edema in lower extremities

D: Client states severe pain when walking up stairs - correct answer ✔✔B: Spouse states the client has
lost all appetite



The nurse wishes to determine the client's feelings about a recent diagnosis. Which interview question is
most likely to elicit this information?

, A: "What did the doctor tell you about your diagnosis?"

B: "Are you worried about how the diagnosis will affect you in the future?"

C: "Tell me about your reactions to the diagnosis"

D: "How is your family responding to the diagnosis?" - correct answer ✔✔C: "Tell me about your
reactions to the diagnosis"



The most important component to the effective use of the nursing process is:



A: Collaboration

B: Critical thinking

C: Client compliance with the plan

D: Nursing theory - correct answer ✔✔B: Critical thinking



Characteristics of the nursing process include: (select all that apply)



A: It is nursing centered

B: It is universally applicable in all settings

C: It is individual and autonomous

D: Decision making is involved in each phase of the nursing process

E: Data from each phase is used in the next phase - correct answer ✔✔B: It is universally applicable in all
settings

D: Decision making is involved in each phase of the nursing process

E: Data from each phase is used in the next phase



The client has had a stroke and has difficulty speaking. An example of the most appropriate form of
communication the nurse can use is:



A: "Are you having pain?"

B: "Tell me about your family."

C: "Tell me about your health history."

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