Chapter 05: Assessment, Nursing Diagnosis, and Planning

Chapter 05: Assessment, Nursing Diagnosis, and Planning

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. When the patient complains of nausea and dizziness, the nurse recognizes these complaints as _______ data.

ANS:  C

Subjective data are symptoms that only the patient can identify.

DIF:    Cognitive Level: Application           REF:   p. 58               OBJ:   Theory #3

TOP:   Assessment Data                             KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

2. The major goal of the admission interview (usually performed by the RN) is to:

ANS:  C

The interview is used as part of the assessment process to elicit information about the patient’s physical, emotional, and spiritual health.

DIF:    Cognitive Level: Comprehension     REF:   p. 58               OBJ:   Theory #1

TOP:   Interview        KEY:  Nursing Process Step: Assessment   MSC:  NCLEX: N/A

3. An example of a structured format for gathering data that aids in forming a database is:

ANS:  D

Mary Gordon’s assessment guide is a guided path to cover 11 health points. Although Maslow may be used, it is not structured.

DIF:    Cognitive Level: Knowledge            REF:   p. 58|Box 5-1

OBJ:   Theory # 2      TOP:   Gordon’s 11 Health Patterns            KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

4. During the assessment phase of the nursing process, the nurse:

ANS:  D

Gathering and organizing data is the first step in the assessment phase of the nursing process.

DIF:    Cognitive Level: Comprehension     REF:   p. 58               OBJ:   Theory #1

TOP:   Data Collection                               KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: N/A

5. After the admission assessment is completed, on subsequent shifts or days, the nurse:

ANS:  D

The patient should be briefly assessed at the beginning of each shift and more thoroughly if his or her condition changes or as per the plan of care.

DIF:    Cognitive Level: Comprehension     REF:   p. 70               OBJ:   Theory #1

TOP:   Physical Assessment                       KEY:  Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort