Chapter 11 Nursing Process Read the patient scenario in the description and then match each numbered and {bracketed} nursing activity with the correct step of the nursing process.

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Read the patient scenario below and then match each numbered and {bracketed} nursing activity with the correct step of the nursing process.Annie seeks your help in the student health clinic because she suspects that her roommate Angela suffered date r@pe. She is concerned because Angela chose not to report it and does not seem to be coping well. {(1) After talking with Annie, you learn that although Angela blurted out that she had been raped when she first came home, since then she has refused ve…

The nursing activity represented as (1) is an example of which step of the nursing process?
a. Assessing
b. Diagnosing
c. Evaluating
d. Implementing
e. Planning

a. (1) is an illustration of the collection of patient data

The nursing activity represented as (2) is an example of which step of the nursing process?
a. Assessing
b. Diagnosing
c. Evaluating
d. Implementing
e. Planning

b. (2) is an illustration of the identification of a nursing diagnosis, a health problem that independent nursing intervention can resolve.

The nursing activity represented as (3) is an example of which step of the nursing process?
a. Assessing
b. Diagnosing
c. Evaluating
d. Implementing
e. Planning

e. (3) is an illustration of outcome identification and related nursing interventions.

The nursing activity represented as (4) is an example of which step of the nursing process?
a. Assessing
b. Diagnosing
c. Evaluating
d. Implementing
e. Planning

d. (4) is an illustration of carrying out the plan of care

The nursing activity represented as (5) is an example of which step of the nursing process?
a. Assessing
b. Diagnosing
c. Evaluating
d. Implementing
e. Planning

5. c. (5) is an illustration of measuring the extent to which Angela has achieved targeted outcomes.

Which of the following statements about the nursing process is most accurate?
a. The nursing process is a four-step procedure for identifying and resolving patient problems.
b. Beginning in Florence Nightingale's days, nursing students learned and practiced the nursing process.
c. Use of the nursing process is optional for nurses, since there are many ways to accomplish the work of nursing.
d. The state board examinations for professional nursing practice now use the nursing process rather than
medical specialties as an organizing concept.

6. d. The nursing process is a five-step process (a); the term nursing process was first used by Hall in 1955 (b); and standards demand the use of the nursing process (c), so it is not optional.

The nursing process ensures that nurses are patient centered rather than task centered. Rather than simply
approaching a patient to take vital signs, the nurse thinks "How is Mrs. Barclay today? Are our nursing actions helping her to achieve her goals? How can we
better help her?" This demonstrates which characteristic of the nursing process?
a. Systematic
b. Interpersonal
c. Dynamic
d. Universally applicable in nursing situations

1. b, interpersonal. Each of the other options are characteristics of the nursing process, but the conversation and thinking quoted best illustrates the interpersonal dimension of the nursing process.

An experienced nurse tells you not to bother studying too hard, since most clinical reasoning becomes "second nature" and "intuitive" once you start practicing. What thinking below should underlie your response?
a. When intuition is used alone, there are increased risks and fewer benefits. Intuition often moves problem solving forward quickly, but it might result in a
lot of trial-and-error approaches.
b. For nursing to remain a science, nurses must continue to be vigilant about stamping out intuitive reasoning.
c. The emphasis on logical, scientific, evidence-based reasoning has held nursing back for years. It's time
to champion intuitive, creative thinking!
d. It's simply a matter of preference. Some of us are logical, scientific thinkers, and some are intuitive,
creative thinkers.

2. a. When intuition is used alone, there are increased risks and fewer benefits. Intuition often moves problem solving forward quickly, but it might result in a lot of trial-and-error approaches. Answer b is incorrect because there is a place for intuitive reasoning in nursing, but it will never replace logical, scientific reasoning (c). Critical thinking is contextual and changes depending on the circumstances, not on personal preference (d).

This text is based upon a notion of blended skills. Simply described, what does this mean?
a. Nursing works best when nurses competently use the intellectual and technical skills that achieve patient outcomes. Nursing has been held back by outdated notions of care and compassion (interpersonal skills), which can be done by anyone.
b. Nursing works best when each nurse competently uses the intellectual, interpersonal, technical, and ethical/legal skills demanded by each situation.
c. All of the blended skills are important, but not every nurse has to be skilled in each area. We benefit
patients by knowing what we do best. I might be utterly deficient in interpersonal skills but excellent in intellectual skills.
d. Every nursing situation demands the same blend of basic nursing skills, intellectual, technical, interpersonal, and ethical/legal.

3. b. Every nurse must be competent in all four basic skill areas and judge what skills each situation needs. Each situation is unique and might call ford different "blend" of basic skills.

The best description of critical thinking indicators (CTIs) is which of the following?
a. Evidence-based descriptions of behaviors that demonstrate the knowledge that promotes critical I
thinking in clinical practice
b. Evidence-based descriptions of behaviors that demonstrate the knowledge and skills that promote
critical thinking in clinical practice
c. Evidence-based descriptions of behaviors that demonstrate the knowledge, characteristics, and
skills that promote critical thinking in clinical practice
d. Evidence-based descriptions of behaviors that demonstrate the knowledge, characteristics,
standards, and skills that promote critical thin clinical practice

c, evidence-based descriptions of behaviors that demonstrate the knowledge, characteristics, and skills that promote critical thinking in clinical practice.

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