DeWit's Fundamental Concepts and Skills for Nursing, 5th Edition By Patricia A. Williams
DeWit's Fundamental Concepts and Skills for Nursing, 5th Edition By Patricia A. Williams
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Chapter 06: Implementation and Evaluation
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | administering daily insulin 30 minutes before breakfast. |
| b. | taking the patient’s vital signs once a day. |
| c. | weighing the patient before breakfast. |
| d. | monitoring a critical patient’s vital signs every 15 minutes. |
ANS: B
Daily vital signs can be taken at any time during the day, whereas the other tasks mentioned have a time constraint.
DIF: Cognitive Level: Application REF: p. 73 OBJ: Theory #2
TOP: Care Delivery KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | question the rationale for the procedure. |
| b. | perform a physical assessment of the patient. |
| c. | check the agency manual for the procedure. |
| d. | mentally review the procedure. |
ANS: D
Reviewing the procedure, checking the manual if uncertain, confirming the order for the procedure, assessing that there is no interference with the completion of the procedure, and identifying the patient are standard steps in deliberative nursing action.
DIF: Cognitive Level: Application REF: p. 76|Box 6-2
OBJ: Theory #1 TOP: Care Delivery
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | Wake patient A for breakfast. |
| b. | Perform time flexible tasks that can be done while both patients sleep. |
| c. | Prepare patient B now; allow patient A to sleep. |
| d. | Assign a nursing assistant to wake and help feed patient A. |
ANS: C
Setting priorities and identifying time fixed tasks would indicate that patient B needs to be prepared for surgery. Patient A needs to sleep.
DIF: Cognitive Level: Analysis REF: p. 73 OBJ: Theory #1
TOP: Care Delivery KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | an independent nursing action. |
| b. | the doctor’s responsibility. |
| c. | a dependent nursing action that requires the doctor’s authorization. |
| d. | an interdependent nursing action. |
ANS: A
Patient education is an independent nursing action.
DIF: Cognitive Level: Comprehension REF: p. 74 OBJ: Theory #2
TOP: Patient Education KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | documented in the nursing care plan in the patient’s medical record. |
| b. | not used often since managed care became part of health care. |
| c. | referred to as a clinical pathway and is used instead of a nursing care plan. |
| d. | more expensive than the traditional separation of health care services. |
ANS: C
An outgrowth of managed care has been collaborative models of care called clinical pathways.
DIF: Cognitive Level: Knowledge REF: p. 74 OBJ: Theory #1
TOP: Clinical Pathways KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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