ATI LPN
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
Nursing diagnoses all contain the modifier 'risk for.'
Correct Answer: B
Rationale: False. Only potential problems use 'risk for'; actual problems and wellness diagnoses do not.
Question 2 of 5
A nursing diagnosis may be a one-part, two-part, or three-part statement.
Correct Answer: A
Rationale: True. Nursing diagnoses can be structured as one-part (wellness), two-part (problem and etiology), or three-part (problem, etiology, and symptoms) statements.
Question 3 of 5
Improvement in a patient's health problem is measured by how much progress the patient makes toward the goal, which is set by the nurse.
Correct Answer: B
Rationale: False. Goals are set collaboratively with the patient, not solely by the nurse, to ensure patient-centered care.
Question 4 of 5
How is Maslow's hierarchy of human needs used by nurses in a clinical setting?
Correct Answer: C
Rationale: Maslow's hierarchy helps nurses prioritize care by addressing physiological needs first, followed by safety, love, esteem, and self-actualization, ensuring patient needs are met in order of urgency.
Question 5 of 5
When a patient achieves the expected outcome, the nursing diagnosis is resolved.
Correct Answer: A
Rationale: True. Achieving the expected outcome indicates the nursing diagnosis has been addressed, resolving the problem.