Chapter 11 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 11 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The student is learning the steps of the nursing process. What is the first thing that the student should realize about the purpose of this process?

1. Deliver care to a client in an organized way.
2. Implement a plan that is close to the medical model.
3. Identify client needs and deliver care to meet those needs.
4. Make sure that standardized care is available to clients.

Correct Answer: 3

Rationale 1: Delivery of organized care is not part of the nursing process, although each phase is interrelated.

Rationale 2: The nursing process is not part of the medical model, as nurses treat the client’s response to the disease or problem.

Rationale 3: The purpose of the nursing process is to identify a client’s health status and actual or potential health care problems or needs, to establish plans to meet the identified needs, and to deliver specific nursing interventions to meet those needs.

Rationale 4: The nursing process is individualized for each client’s care plan. It is not about standardizing care.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 1. Describe the phases of the nursing process.

MNL Learning Outcome: 1.4.1. Analyze the role of assessment in the establishment of the nursing process.

Page Number: 155

 

Question 2

Type: MCSA

While conducting a dressing change, the nurse notes a new area of skin breakdown that was caused from the tape used to secure the dressing. In which phase of the nursing process is the nurse working?

1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation

Correct Answer: 1

Rationale 1: Assessment is the collection, organization, validation, and documentation of data. Assessment is carried throughout the nursing process, as in this case. Even though performing the dressing change is implementation, noticing the new skin breakdown is assessment.

Rationale 2: Diagnosis is identifying the client’s response to the problem. Implementation is what the nurse does to help the client reach a goal, and then the goal is evaluated.

Rationale 3: Even though performing the dressing change is implementation, noticing the new skin breakdown is assessment.

Rationale 4: The goal of the intervention is evaluated, but that is not what is being described in this scenario.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4. Identify the four major activities associated with the assessing phase.

MNL Learning Outcome: 1.4.1. Analyze the role of assessment in the establishment of the nursing process.

Page Number: 159

 

Question 3

Type: MCSA

During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in the bed, and says “leave me alone.” Which subjective data should the nurse document?

1. Restlessness
2. “Leave me alone”
3. Not talkative
4. Pale and diaphoretic

Correct Answer: 2

Rationale 1: Restlessness is observable so it is not subjective data.

Rationale 2: Subjective data can be described or verified only by that person and are apparent only to the person affected. Subjective data include the client’s sensations, feelings, beliefs, attitudes, and perceptions of personal health status and life situations.

Rationale 3: Not being talkative is observable so it is not subjective data.

Rationale 4: Paleness with diaphoresis is observable so this is not subjective data.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5. Differentiate objective and subjective data and primary and secondary data.

MNL Learning Outcome: 1.4.1. Analyze the role of assessment in the establishment of the nursing process.

Page Number: 160