Which element is involved in the planning phase of the nursing process?

Developing a written plan of nursing care takes place during which step of the nursing process?

The use of patient restraints limits which ethical principle?

Which type of nursing diagnosis identifies an existing condition that the client is experiencing?

Which of the following is the highest level of human need according to Maslow (1968)?

A client has designated her daughter as a person to make healthcare decisions for the client if he is not able to do so. What type of advance directive is this considered?

A client jumped out of a window on the second floor of the hospital and sustained a spinal cord injury that resulted in the inability to have upper and lower extremity sensation. What type of documentation by the nurse would be appropriate in this situation?

Which term is defined as a formal systematic study of moral beliefs?

The nurse is attending a client with chronic renal failure. The client is experiencing a loss of appetite and reports feeling like everyday situations have become more stressful. The client reports feeling disappointed and frustrated with the condition, and says the family is not getting any help. What is the most important nursing intervention that the nurse needs to carry out at this point?

The nurse prepares to administer medication to the patient. The patient states, “I would prefer not to take that medication until I speak with my physician.” The nurse honors the patient’s desire to make decisions, following which common ethical principle?

What statement does the nurse determine is a medical diagnosis rather than a nursing diagnosis?

The nurse is caring for a group of clients. What priority nursing intervention illustrates planned nursing care prioritized according to Maslow’s hierarchy of needs?

Analyzing information for patterns, maintaining a flexible attitude, and making decisions reflecting creativity are all what type of components necessary for nurses?

A client with newly diagnosed diabetes requests information about how to give an injection. What is the best communication technique the nurse can use with the client?

A longterm care facility's newest client refuses to attend group activities or social events offered by the facility. Which level of Maslow’s hierarchy do social events address?

An ER nurse must quickly assess two clients who were in a car accident and determine whose needs take priority. In this situation, critical thinking allows the nurse to:

Healthcare providers use a problem-solving approach for ethical dilemmas. Which is the last step of the ethical decision-making model?

Which critical thinking skill involves identification of client problems indicated by data?

A client has a nursing diagnosis of "Feeding self-care deficit related to right-sided weakness. Which of the following would be the most appropriate expected outcome for this client?

A client reports postoperative pain near the incision site on his abdomen. He describes the pain as constantly burning and rates it at an 8/10 using the pain scale. The nurse administers morphine sulfate 2 mg IVP as ordered. Ten minutes later the nurse documents that the client now rates his pain at a 3/10 using the pain scale. The nurse's documentation is an example of which part of the nursing process?

The RN develops an outcome standard of “client will ambulate with an assistive device 60 feet with assistance twice a day” for a client who had a hip replacement. What part of the nursing process is involved with this outcome statement?

The nurse is to administer a potassium supplement to the client. The nurse does not check the potassium level prior to administering the medication and later finds that the potassium level was at a critical high. What principle has this nurse violated?

The nurse is administering a medication to a client for the treatment of his constipation. The client states that he prefers not to take the medication today. The nurse respects the client’s right and informs him if he needs it later, just let the nurse know. What professional value is the nurse displaying?

Which situation would require the nurse to use critical thinking and decision-making skills in providing genetics-related nursing care?

Assessment, the first of five steps in the nursing process, begins with initial patient contact. What activities by the nurse are included in this component of the nursing process? (Select all that apply.),,

The nurse is preparing a client for a colonoscopy at the hospital. Who does the nurse understand is responsible for obtaining the informed consent from this client?

Patient health education provided by the nurse

A client reports postoperative pain near the incision site on his abdomen. He describes the pain as constantly burning and rates it at an 8/10 using the pain scale. The nurse administers morphine sulfate 2 mg IVP as ordered. Ten minutes later the nurse documents that the client now rates his pain at a 3/10 using the pain scale. The nurse's documentation is an example of which part of the nursing process?

A client has been admitted to the hospital with a large sacral pressure ulcer. The physician orders the wound care protocol to be performed twice a day. What would be a statement on the plan of care that would address the implementation phase of the nursing process for this client?

Which communication technique is helpful in health teaching about relevant aspects of a client’s well-being and self-care?

The nurse and patient establish a goal to stand at the bedside for 5 minutes prior to the end of her shift at 2300. Earlier that day the patient had a total knee replacement. This is an example of which type of goal?

A client, 50 years old, is admitted for treatment of a gastric tumor. The client asks the nurse, "Do you think I have cancer?" Which response by the nurse would be most therapeutic?

A client reports postoperative pain near the incision site on his abdomen. He describes the pain as constantly burning and rates it at an 8/10 using the pain scale. The nurse administers morphine sulfate 2 mg IVP as ordered. Ten minutes later the nurse documents that the client now rates his pain at a 3/10 using the pain scale. The nurse's documentation is an example of which part of the nursing process?

A client has been a resident of a long-term care facility for several years. The client's condition has deteriorated to the point that the client is now unable to eat. The physician has recommended surgical implantation of a feeding tube. The client's family has a legal document outlining the client's wishes in regard to measures such as this. What is this document?

Several days this week, a nurse takes time after work to read to a visually impaired client who has no family close by. This behavior demonstrates that ethical values:

Which of the following is a true statement about critical thinking according to Alfaro-LeFevre (2010)?

The nurse has developed a plan of care for a client who is having a surgical procedure and is at risk for the development of pneumonia. The nurse devises the outcome statement to read: “The client will have clear lungs by the third postoperative day. ” On the third postoperative day, the client has left lower lobe crackles and infiltrates on the chest x-ray. What conclusion does the nurse reach for this client?

Which of the following is a cognitive or mental activity that nurses use in critical thinking?

A client presents to the acute care facility with several signs and symptoms. How will the nurse determine and prioritize the client’s healthcare needs?

How is assessment defined as part of the nursing process?

The physician has ordered cimetidine for a client with gastric ulcers, and the nurse administers the first dose. The nurse's actions are noted in the medical record. This notation is an example of which aspect of implementing the plan of care?

Several times, family members have asked a nurse to share personal prescriptions when they were in need of pain medication or antibiotics. Which type of rules or standards should govern the nurse's moral decision?

A client has designated her daughter as a person to make healthcare decisions for the client if he is not able to do so. What type of advance directive is this considered?

A client has been diagnosed with cardiac dysfunction and admitted to a health care center. The nurse notices that the client’s ankles and feet are swollen. Using critical thinking skills, which nursing intervention does the nurse know to perform next?,,

Based on the nurse’s knowledge of the increased risk for bleeding in a client undergoing chemotherapy or radiation, which of the following interventions does the nurse need to include in the client’s plan of care? Select all that apply.,,,,

While caring for a client with a deep vein thrombosis of the leg, the nurse monitors for collaborative problems. Which action will the nurse implement while treating collaborative problems for this client?

A client is to be discharged from an acute care facility after treatment for pneumonia. The nurse notes that the client's lungs are clear and denies shortness of breath. The nurse's actions reflect which step of the nursing process?

A client has just returned to the unit following abdominal surgery and is in significant pain. According to the nursing process, how frequently will the nurse perform assessments on this client?

Healthcare providers use a problem-solving approach for ethical dilemmas. Which is the last step of the ethical decision-making model?

Which set of nursing actions demonstrates that the nurse understands the nursing process?

The registered nurse (RN) is responsible for delegating patient care responsibilities to licensed practical nurses (LPNs) as well as ancillary personnel. What would be the most appropriate task to delegate to a nursing assistant?

The registered nurse (RN) is responsible for delegating patient care responsibilities to licensed practical nurses (LPNs) as well as ancillary personnel. What would be the most appropriate task to delegate to a nursing assistant?

The licensed practical nurse is caring for a client who has been admitted to the unit with a possible head injury caused by a motor vehicle accident. The LPN would contact the RN before implementing which nursing intervention?

Which therapeutic communication technique may occur during the planning stage, when the client is presented with alternative ideas for consideration relative to problem solving?

The nurse is developing a care plan. At which step of the nursing process will the nurse order the primary interventions to achieve a goal?

The nurse assesses a radial pulse rate of 48 beats per minute (bpm). Using critical thinking, what will be the best action for the nurse to take?