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Name:
Write TRUE if the statement is correct otherwise write FALSE
1. The nursing process is composed of sequential and interrelated process. ______________________________
2. The primary source of data during assessment is the patient’s chart. _________________________________ 3. The nursing diagnosis is a statement that describes the health care needs of the client. __________________ 4. Priority setting primarily considers ranking of nursing diagnosis in terms of importance to client. _____________ 5. When providing health care, psychosocial needs are given priority over physiologic needs. __________________ 6. High priority nursing diagnosis are those that are potentially life-threatening and require immediate action. _________ 7. A client goal is specific, measurable, realistic statements of expected outcome of nursing care. _____________ 8. The plan of care is nursing centered, and it identifies the scope and depth of the nursing practice. ____________ 9. Therapeutic use of self involves being able and being willing to care. _______________ 10. Nursing process is universal because it is applicable to individuals, families and communities. ___________ 11. Which the following is not a subjective data? A. Dizziness B. Chest pain C. Anxiety D. Bluish discoloration of the skin
12. Which of the following is incorrect statement of nursing diagnosis?
A. High risk for ineffective airway clearance related to pneumonia B. High risk for injury related to dizziness C. Constipation related to decreased activity and fluids as manifested by small, hard, formed stool every three days. D. Anxiety related to insufficient knowledge regarding surgical experience 13. Which of the following would not be a basis for establishing priorities in client care? A. Actual problems take precedence over potential concerns. B. Attend to equipment and contraptions first such as IV fluids, urinary catheter, drainage tubes before the client. C. Airway should always be given highest priority. D. Clients with unstable condition should be given priority over those with stable conditions 14. Which of the following is an incorrect statement of outcome criteria? A. Ambulates 30 feet with cane before discharge B. Discusses fears and concerns regarding the surgical procedure during preoperative teaching. C. Demonstrates proper coughing technique after the teaching session D. Reestablishes normal pattern of bowel elimination 15. The following are specific activities during evaluation EXCEPT; A. Collecting data B. Performing nursing interventions C. Measuring goal attainment D. Revising or modifying the care plan