Chapter 4: The Nursing Process: Critical Thinking and Decision Making - Nurselytic

Questions 26

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Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills

Chapter 4 : The Nursing Process: Critical Thinking and Decision Making Questions

Question 1 of 5

LPNs/LVNs do not have a role in determining nursing diagnoses for the care plan.

Correct Answer: B

Rationale: False. LPNs/LVNs contribute to care planning by collecting data and providing input, though RNs typically finalize nursing diagnoses.

Question 2 of 5

Specified diagnoses are those that clearly apply to one defined patient need, so that any more description would only be redundant.

Correct Answer: A

Rationale: True. Specified diagnoses are concise and address a single, clear patient need without unnecessary elaboration.

Question 3 of 5

Wellness diagnoses are characterized by the phrase 'ready for enhanced.'

Correct Answer: A

Rationale: True. Wellness diagnoses, such as 'ready for enhanced health,' focus on opportunities for health improvement.

Question 4 of 5

A student in your class is given the name of a patient for whom she will provide care the following day in clinical. She goes to the unit, which specializes in diabetes care, to find out information and sees the patient sitting in a wheelchair with his chart in his lap. He is on his way to radiology for an x-ray. She notes that his left leg is amputated just below the knee and that his right foot is bandaged. Your class has been studying diabetes and the student knows that vascular problems and amputations are unfortunate complications of diabetes. She plans to study about diabetic foot care tonight so that she will be prepared for clinical the next day. Which of the following represents an accurate statement about her decision to study diabetic foot care?

Correct Answer: A,C

Rationale: The student's decision reflects careful observation and good planning (
A) because she is proactively preparing for clinical by studying relevant content based on her observations. Additionally, reading the patient's specific foot care program first (
C) would ensure her study is tailored to the patient's needs, enhancing her preparation.

Question 5 of 5

Which step of the nursing process is concerned with identifying physical findings?

Correct Answer: A

Rationale: Assessment is the step where nurses collect data, including physical findings, through observation, interviews, and examinations to establish a baseline for patient care.

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