Question

Circle the letter that corresponds to the best answer for each question.

1.     Which of the following statements concerning
the nursing process is accurate?

a.     The nursing process is nurse oriented.

b.    The steps of the nursing process are
separate entities.

c.     The nursing process is nursing practice in
action.

d.    The nursing process comprises four steps to
promote patient well-being.

2.     Which of the following groups legitimized the
steps of the nursing process in 1973 by devel-
oping standards of practice to guide nursing
practice?

a.     American Nurses Association Congress for
Nursing Practice

b.    Joint Commission on Accreditation of
Healthcare Organizations

c National League of Nursing

d.    American Association of Critical Care
Nursing

3. Which of the following characteristics of the nursing process could be defined as a great deal of overlapping interaction among the five steps, with each step being fluid and flowing into the next step?

a.    Interpersonal

b.   Dynamic
c Systematic

d. Universally applicable

4.     Which of the following statements accurately
depicts a step in the critical thinking process?

a.    The first step when thinking critically is to
gather as much data related to the question
as possible.

b.   Nurses who think aitically allow emotions
to direct their thinking.

c Nurses who use the critical thinking process
ultimately must identify alternative
decisions and reach a conclusion,

d.   The critical thinking process is based on
intuition and excludes the use of outside
resources.

5.     In which of the following cases is the nursing
process applicable?

a.    When nurses work with patients who are
able to participate in their cate

b.     When families are clearly supportive and
wish to participate in care

c When patients are totally dependent on the
nurse for care

d.     In all the nursing situations listed above

6.     Which of the following interpersonal skills
is displayed by a nurse who is attentive and
responsive to the healthcare needs of individual patients and ensures the continuity of care
when leaving the patient?

a.     Establishing caring relationships

b.     Enjoying the rewards of mutual interchange

c.     Developing accountability

d.     Developing ethical/legal skills

7.     Which of the following traits help nurses
develop the attitudes and dispositions to
think critically?

a.     Thinking independently

b.     Being intellectually humble

c.     Being curious and persevering

d.     All of the above

ALTERNATE-FORMAT QUESTIONS

Multiple Response Questions

Circle the letters that correspond to the best

answers for each question.

1.     Which of the following statements are key
descriptors of the nursing process? (Select ail
that apply.)

a.     The nursing process is systematic in that
each nursing activity is part of an ordered
sequence of activities, depends on the accu-
racy of the activity that preceded it, and
influences the actions that follow it.

b.     The nursing process is dynamic, meaning
that each step flows into the next step and
there is a great deal of interaction and over-
lapping among the five steps.

c.     The nursing process is interpersonal because
the human being is always at the heart of
nursing.

d.     The nursing process is interpersonal in that
a patient is viewed as a "problem to be
solved" and nurses interact mechanically to
provide the solution.

e.     The nursing process is outcome oriented in
that it is a means to an end, which may not
always focus on the outcomes that are
patient priorities.

f.    The nursing process is universally applicable
in nursing situations, meaning that health-
care is provided in an unchanging environ-
ment and the nursing process can be used
as a tool in any nursing situation.

2.    Which of the following statements describe
the use of problem solving in the nursing
process? (Select all that apply.)

a.    The trial-and-error problem-solving
method is used extensively in the
nursing process.

b.    The trial-and-error problem-solving method
is recommended as a guide for nursing
practice.

c.    The scientific problem-solving method
is closely related to the more general
problem-solving process (the nursing
process) commonly used by healthcare
professionals as they work with patients.

d.    Nurse theorists and educators advocate,
basing clinical judgments on data alone
in an attempt to establish nursing as a
science, worthy of the respect of other
professions.

e.    Today, nurses acknowledge the positive role
of intuitive thinking in clinical decision
making.

f.     Critical thinking in nursing can be intuitive
or logical or a combination of both.

3.    Which of the following accurately describe the
role of documenting in the nursing process?
(Select all that apply.)

a.    The patient record is the chief means of
communication among members of the
interdisciplinary team.

b.    If a nurse is accused of negligent care, a
nurse's word that he/she faithfully assessed
the patient's needs, diagnosed problems,
and implemented and evaluated an effective
plan of care is his/her best defense.

c.    Legally speaking, a nursing action not documented is a nursing action not performed.

d.    It is helpful to practice documentation
while learning any given nursing activity.

e.    The content of the patient report and nurs-
ing documentation helps to establish nurs-
ing priorities in a practice setting.

f.     Because data collection is ongoing and
responsive to changes in the patient's condition, it should be documented in the
final step of the nursing process.

4.     Which of the following are examples of
ethical/legal skills? (Select all that apply.)

a.   Working collaboratively with the healthcare
team as a respected and credible colleague
to reach valued goals

b.   Being trusted to act in ways that advance
the interests of patients

c.   Using technical equipment with sufficient
competence and ease to achieve goals with
minimal distress to patients

d.   Selecting nursing interventions that are
most likely to yield the desired outcomes

e.   Being accountable for practice to oneself,
the patient, the caregiving team, and
society

f.    Acting as an effective patient advocate

5.     Which of the following are considered characteristics of a critical thinker? (Select all that
apply.)

a.   Thinking based on the opinions of others

b.      Being open to all points of view
c Acting like a "know-it-all"

d.   Resisting "easy answers" to patient
problems

e.   Thinking "outside the box"

f.    Accepting the status quo

Prioritization Questions

1.     Place the following nursing activities in the
order that they would most likely occur when
a healthcare professional uses the nursing
process:

a.   Modifying the plan of care (if indicated)

b.   Carrying out the plan of care

c.   Establishing the database

d.   Interpreting and analyzing patient data

e.   Establishing priorities

f.    Measuring how well the patient has
achieved desired outcomes

2.     Place the following steps of scientific problem
solving in the order in which they occur in
the process:

a.   Hypothesis formulation

b.   Plan of action

c.  Evaluation

d.       Interpretation of results

e.       Problem identification

f.       Data collection

g.   Hypothesis testing

FILL-IN-THE-BLANKS

1.    The steps of the nursing process were
legitimized in 1973 when the ANA Congress

for Nursing Practice developed___________

to guide nursing performance.

2.    When a nurse assists a patient to achieve
desired goals such as promoting wellness, pre-
venting disease and illness, restoring health, or
facilitating coping with altered functioning,

he/she is using the___________ step of the

nursing process.

3.      _________ is an instructional strategy that

requires learners to identify, graphically
display, and link key concepts.

4.    A nurse who reports his/her employer's viola-
tion of law to law enforcement agencies
outside the employer's facilities is termed a{n)

5.    The three Important ideas that must be
linked together during clinical planning are
,________ , and_______

MATCHING EXERQSES

Match the step of the nursing process listed in
Part A with the related task listed in Part B.
Answers will be used more than once.

PART A

a.       Assessing

b.       Diagnosing

c.       Planning

d.       Implementing

e.       Evaluating
PARTB

1. ___ A nurse performs an initial patient interview.

2.       ---- A home care nurse helps the physical therapist exercise the patient's limbs.

3.             A nurse sits down with the healthcare team halfway through treatment of a patient to see how effective the treatment has been.

4.       ---- A nurse analyzes data to determine what health problems might exist.

5.       ---- A nurse sets a goal for an obese teenager to lose 2 pounds a week.

6.       ---- A nurse consults with a patient's support people and other healthcare professionals to learn more about a patient's problem.

7.       __ A nurse decides whether to continue, modify, or terminate the healthcare plan.

8.       __ A nurse identifies the strengths a patient with cancer possesses.

9.       __ A home care nurse determines how much nursing care is needed by an elderly stroke patient living with her daughter.

10.      __ A nurse weighs a patient after 3 weeks to determine whether his/her new diet has been effective.

11.       __ A nurse documents respiratory care performed on a patient.

12.       __ A nurse reviews a patient’s past medical records.

Match the competencies listed in Part A with
the appropriate example of competencies listed
in Part B. Answers will be used more than once.

PART A

a.       Cognitive competencies

b.       Technical competencies

c.       Interpersonal competencies

d.       Ethical/legal competencies

PARTB

13.       __ A nurse conducts a patient interview in such a way that the patient relaxes and "opens up" to her.

14.       __ A nurse skillfully attaches a heart monitor to a patient.

15.       -- A nurse carefully fills out an incident report documenting a fall.

16.           A nurse understands the need for palpating the lungs of a patient with pneumonia.

17.           A nurse checks the side rails on a bed of an elderly patient with a history of falls.

18..— A nurse successfully performs a catheterization of a patient.

19.           A nurse is familiar with the various types of medications for high blood pressure and their side effects.

20.      — A nurse calms the mother of an infant brought to the emergency room with a high fever.

21.       __ A nurse competently starts an IV drip on a patient.

22.       __ A nurse checks a patient's bracelet before administering medications

SHORT ANSWER

1. List three patient and three nursing benefits
of using the nursing process correctly.

Patient:

Nursing:

2. Describe how the nurse and patient work
together to accomplish the following tasks of
the nursing process:

a. Determining the need for nursing care:

b. Planning and implementing the care:

c Evaluating the results of the nursing care:

d. Define the nursing process:     

e. Critique of judgment/decision:

What are the primary goals of the nursing
process?

_______________________________

What skills are necessary to use the nursing process successfully?

________________________________

Which of these skills do you personally pos-
sess and which do you need to develop in
your practice?

__________________________________

4. Describe what the following words mean to you and how they apply to your use of the nursing process:

a. Systematic:_______________________

b. Dynamic:

a.      Interpersonal:

b.       Goal oriented:

c.       Universally applicable:

5. Briefly explain how the following considerations are relevant to the successful use of critical thinking competencies:

a. Purpose of thinking:___________________

b. Adequacy of knowledge:

a.      Potential problems

b.       Helpful resources

6. List four good habits nurses should develop to help them master the manual competencies
essential to quality nursing process.

Answer 1

1. Answer is Option D

Nursing process is having four steps, assessment, planning, intervention, and implementation . Theses all are for patient well-being.

2. Answer is option A.

American Nurses Association Congress for
Nursing Practice legitimized the
steps of the nursing process in 1973 by devel-
oping standards of practice to guide nursing
practice.

3. Answer is option A

Interpersonal

4. Answer is option C

Nurses who use the critical thinking process
ultimately must identify alternative
decisions and reach a conclusion,