ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 3 : The Nursing Process Questions
Question 1 of 5
A nurse and a student are developing a concept care map for a client with multiple sclerosis. Once finished, what important information can the student glean from the concept map?
Correct Answer: A
Rationale: The student can glean important information pertaining to ideas about the client's care and how these ideas are linked and interrelated. A concept map does not predict how effective the client's plan of care will be. That requires the nurse to evaluate the plan's effectiveness. The concept map also does not provide trends and patterns in the client's status over time. That requires the nurse to assess and document those trends.
To determine if desired outcomes are achieved, the nurse needs to reassess the client once the plan of care has been implemented.
Question 2 of 5
The nurse understands that critical thinking skills are an integral part of nursing practice. Development of these skills requires what from the nurse?
Correct Answer: B
Rationale: Nurses develop critical thinking skills through knowledge, experience, and practice. Intention, contemplation, and a focus on outcomes are characteristics of critical thinking. They are not how the nurse develops critical thinking skills.
Question 3 of 5
The LPN is assisting with the admission of a client scheduled for surgery the next day. What role does the LPN have in the planning phase of the nursing process?
Correct Answer: D
Rationale: The role of the LPN allows for the contribution of the development of care plans. The other answers are within the scope of practice of an RN.
Question 4 of 5
A client has a nursing diagnosis of altered skin integrity related to prescribed bed rest and decreased mobility of the lower extremities as evidenced by a reddened area on heels and fluid-filled blister on sacrum. Which part of this nursing diagnosis is considered the cause?
Correct Answer: C
Rationale: The cause portion of the nursing diagnosis includes the factors contributing to the problem; in this case, they are 'prescribed bed rest and decreased mobility of the lower extremities.' Impaired skin integrity is the stated problem, and the reddened area on the heels and the fluid filled blister are the defining characteristics that describe the problem.
Question 5 of 5
The LPN is collecting data so that the RN may develop the plan of care for the client. What is the importance of accurate gathering of baseline data?
Correct Answer: B
Rationale: The client database includes all the information obtained from the medical and nursing history, physical examination, and diagnostic studies. Baseline data serve as a comparison for future signs and symptoms and provide a reference for determining if a client's health is improving. The physician does not use the care plan for the diagnosis.