Exam Chapter 7-10

Term
1 / 10
Which of the following is an example of a problem that a nurse can treat Independently?
1) Hemorrhage
2 Nausea
3) Fracture
4) Infection
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Terms in this set (10)
Which of the following is an example of a problem that a nurse can treat Independently?
1) Hemorrhage
2 Nausea
3) Fracture
4) Infection
2
2. Which of the following is an example of a cluster of related
cues?
1. Complains of nausea and stomach pain after
eating
2. Has a productive cough and states stools are
loose
3. Has a daily bowel movement and eats a high-fiber
diet
4 .Respiratory rate 20 breaths/min, heart rate 85 beats/min, blood pressure
Answer 1
Which of the following explains why is it important to have the correct etiology for a nursing diagnosis? The etiology is
1. The cause of the problem
2. Cannoly always be observed
3. Directs nursing care
4. Is an inference
Answer 3
How does a risk diagnosis differ from a possible nursing diagnosis?
?
1. A risk diagnosis is based on data about the patient
2. A possible diagnosis is based on partial ( Or incomplete) data.
3. Nurses collect the data to support risk
4. A possible diagnosis becomes an actual diagnosis when symptoms develop
Answer 2
5. Which of the following describes the difference between a collaborative problem and a medical diagnosis?

1. A collaborative problem is treated by the nurse; a physician is responsible for the treatment of a medical problem.
2. A collaborative problem is a nursing diagnosis that requires specific orders from a physician; a medical diagnosis directs all nursing care.
3). A collaborative problem has the potential to become an actual nursing diagnosis; a medical diagnosis rarely changes
4. A collaborative problem requires intervention by the nurse and physician or other professional a medical requires intervention by a physician
Answer 4
6. Which of the following is the best approach to validate a clinical inference?
1. Have another nurse evaluate it.
2. Have the physician evaluate it.
3. Have sufficient supportive data.
4. Have the client's family confirm it.
ANS: 3
8. When making a diagnosis using NANDA-I, which of the following
provides support for the diagnostic label you choose?
1. Etiology
2. Related factors
3). Diagnostic
l4)
Defining
characteristics ANS: 4
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9. Based only on Maslow hierarchy of needs, which nursing diagnosis should
have the highest priority?
1)
Self-care Deficit
2)
Risk for
Aspiration 3)
Impaired Physical
Mobility 4)
Disturbed Sensory
Perception ANS:2
...
10. Which of the following describes the most important use of nursing
diagnosis? (All statements are true.)
1)
Differentiates the nurses role from that of the
physician 2)
Identifies a body of knowledge unique to
nursing 3)
Helps nursing develop a more professional
image 4)
Describes the clients needs for nursing
care ANS: 4
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11. Which of the following is a criticism of standardized ,
diagnoses developed by NANDA-I?
1)
0
There is little research to support nursing diagnoses
labels. 2)
r5
A perfect nursing diagnosis must be written for it to be
useful. 3)
They are not included in all states nurse practice
acts. 4)
Other professions do not recognize nursing
diagnoses. ANS: 1
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