Chapter 5: Nursing Process and Critical Thinking

Chapter 5: Nursing Process and Critical Thinking

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What best defines the nursing process?

a.	A method to ensure that the physician’s orders are implemented correctly.
b.	A series of assessments that isolate a patient’s health problem.
c.	A framework for the organization of individualized nursing care.
d.	A preset formula for the design of nursing care.

 

 

ANS:  C

The nursing process is a framework by which to organize individualized nursing care.

 

DIF:    Cognitive Level: Comprehension     REF:   Page               OBJ:   1

TOP:   Nursing process                              KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

2. All of the following patients have been admitted to the acute care setting. On admission, which patient should receive a focused assessment?

a.	53-year-old admitted with a perforated ulcer
b.	5-year-old admitted for the implant of grommets in the middle ear
c.	76-year-old admitted for a knee replacement
d.	40-year-old admitted for possible bowel obstruction

 

 

ANS:  A

A patient with a perforated ulcer is considered to be critically ill. Therefore, this patient should receive a focused assessment. The remaining options are not considered critical illnesses.

 

DIF:    Cognitive Level: Application           REF:   Page               OBJ:   2

TOP:   Assessment    KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

3. What subjective data does the nurse record following a head-to-toe examination?

a.	Rash on back
b.	Prolonged nausea
c.	Blood pressure of 190/100
d.	White blood cell count of 19,000

 

 

ANS:  B

Another term for subjective data is symptoms, which cannot be observed or measured. This data must come from the patient.

 

DIF:    Cognitive Level: Application           REF:   Page               OBJ:   3

TOP:   Subjective data                                KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

4. What objective data should the nurse include after a patient assessment?

a.	Headache of 3 days duration
b.	Severe stomach cramps
c.	Flatulence
d.	Anxiety

 

 

ANS:  C

Objective data are observable and measurable by people other than the patient.

 

DIF:    Cognitive Level: Application           REF:   Page               OBJ:   3

TOP:   Objective data                                 KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

5. What is classified as information provided by the family when a patient is unable to provide data during assessment?

a.	Primary
b.	Secondary
c.	Unreliable
d.	Biased

 

 

ANS:  B

Secondary sources include family members.

 

DIF:    Cognitive Level: Comprehension     REF:   Page               OBJ:   3

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