ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 17 : Outcome Identification and Planning Questions
Question 1 of 5
A father runs into the emergency room with his 18 -month-old son in his arms. The father screams, Help, he is not breathing! The nursing diagnosis of Impaired Gas Exchange is what level of priority diagnosis?
Correct Answer: D
Rationale: Impaired Gas Exchange in a non-breathing child is a life-threatening condition, making it a high-priority diagnosis (
D).
Question 2 of 5
The nursing diagnosis Impaired Gas Exchange, prioritized by Maslows hierarchy of basic human needs, is appropriate for what level of needs?
Correct Answer: A
Rationale: Impaired Gas Exchange relates to breathing, a physiologic need (
A), which is the most basic level in Maslow's hierarchy.
Question 3 of 5
A resident of a long-term care facility refuses to eat until she has had her hair combed and her make-up applied. In this case, what patient need should have priority?
Correct Answer: B
Rationale: The patient's refusal to eat until her appearance is addressed indicates that her need to feel good about herself (
B) is currently the priority.
Question 4 of 5
In which of the following patients has the order of priorities for nursing diagnoses changed? Select all that apply.
Correct Answer: A,C,D,F
Rationale: Patients with a stroke (
A), insistence on bathroom use (
C), confusion after medication (
D), and wounds plus concussion (F) may have shifting priorities due to acute or changing conditions.
Question 5 of 5
From what part of the nursing diagnoses are outcomes derived during outcome identification and planning?
Correct Answer: C
Rationale: Outcomes are derived from the etiology of the problem (
C), as addressing the cause helps formulate measurable goals.