Practice Question
In the process of planning a patient's care, the nurse has identified a nursing diagnosis of Ineffective Health Maintenance related to alcohol use. What must precede the determination of this nursing diagnosis?
Answer Choices:
Correct Answer:
Collecting and analyzing data that corroborates the diagnosis
Rationale:
🟣Nursing diagnoses must be supported by assessment data to be valid.
🟣The nurse must collect, organize, and analyze data before formulating a diagnosis.
🟣Without this evidence, the diagnosis would be unfounded and inaccurate, potentially leading to inappropriate care.
🟣This process ensures the nurse is making a clinical judgment based on facts rather than assumptions.
🟣Accurate data collection supports safe, individualized, and evidence-based nursing interventions.
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This question is from NR226 Quiz which contains 10 questions.
More Questions from This Exam
Which is an example of an objective assessment finding?
Answer Choices:
A. A client reports vomiting overnight.
B. A client reports a pain level of 8 out 10.
C. A client states, "I have not slept for the past 24 hours."
D. A nurse observes the client with facial grimacing.
A registered nurse is discussing the nursing process with a student nurse. Which of the following statements by the student nurse should the registered nurse identify as appropriate for the planning step of the nursing process?
Answer Choices:
A. "I will develop a SMART goal based on the client's problems."
B. "I will ask the client if their pain has resolved."
C. "I will administer the mediations prescribed by the provider."
D. "I will review the past medical history in the client's chart."
Which skill does the nurse use to see relationships among data?
Answer Choices:
A. Distinguishing relevant from irrelevant
B. Clustering related cues
C. Validation
D. Identifying gaps in data
After assessing a client, a nurse develops a standard formal nursing diagnosis. What is the rationale for the nurse's actions?
Answer Choices:
A. To help nurses focus on the scope of medical practice
B. To distinguish the nurse's role from the provider's role
C. To form a language that can be encoded only by nurses
D. To develop clinical judgment based on other intuitions
A nursing diagnosis:
Answer Choices:
A. A nursing diagnosis is not a clinical judgement.
B. Identifies a nursing problem.
C. Is a statement of a patient response to a health problem that requires nursing interventions.
D. Does not change during the course of a patient's hospitalization.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: 💎Examplify-PN
- Domain: 🔔 Fundamentals of Nursing-PN
- Answer Choices: 4