Name: __________________________ Date: _____________ 1.

The steps in the nursing process include: Assessment, strategic planning, negotiating, implementation, and evaluation. History, planning, goal setting, and evaluation. Current medical history, past medical history, and review of systems. Assessment, diagnosis, planning, implementation, and evaluation. 2. Which of the following statements best describes the assessment step in the nursing process? Data are analyzed to identify actual and potential health problems. This step sets the tone for the rest of the nursing process. This step involves setting goals and outcomes. The patient's response is assessed based on set outcome criteria. 3. Which diagnosis is a wellness diagnosis? Body image disturbance Risk for aspiration Ineffective breastfeeding Health-seeking behaviors 4. Planning should occur after: Nursing diagnoses are prioritized. Nursing diagnoses are identified. Goals are set. Evaluation has occurred. 5. Nursing actions are carried out during which step of the nursing process? Assessment Planning Implementation Evaluation 6. Which of the following findings is considered a symptom? Rapid respirations Sweaty palms Belching Palpitations

A) B) C) D)

A) B) C) D)

A) B) C) D)

A) B) C) D)

A) B) C) D)

A) B) C) D)

7. Which of the following activities is implemented during the planning phase of the nursing process? A) Collect data. B) Establish measurable outcomes.
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C) D)

Formulate nursing diagnosis. Prioritize problems. 8. During which phase of the nursing process do you develop patient outcomes? Assessment Nursing diagnosis Planning Implementation 9. A 29-year-old, married female, Gravida 1, Para 0, is having contractions 5 minutes apart. She describes them as severe cramps. Her husband states, I think her water broke on the way to the hospital. Which type of assessment should the nurse begin? Focused Complete Psychosocial Personal

A) B) C) D)

A) B) C) D)

10. After gathering data, the nurse should: A) Formulate potential nursing diagnoses. B) Formulate actual nursing diagnoses. C) Cluster the data into categories. D) Make a plan.

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Answer Key
1. D Origin: Chapter 1- Health Assessment and the Nurse, 1 Chapter: 1 Integrated Processes: Clinical Problem Solving Student Question: No 2. B Origin: Chapter 1- Health Assessment and the Nurse, 2 Chapter: 1 Integrated Processes: Clinical Problem Solving Student Question: No 3. D Origin: Chapter 1- Health Assessment and the Nurse, 6 Chapter: 1 Integrated Processes: Clinical Problem Solving Patient Need: Health Promotion and Maintenance Student Question: No 4. A Origin: Chapter 1- Health Assessment and the Nurse, 7 Chapter: 1 Integrated Processes: Clinical Problem Solving Student Question: No 5. C Origin: Chapter 1- Health Assessment and the Nurse, 8 Chapter: 1 Integrated Processes: Clinical Problem Solving Student Question: No 6. D Origin: Chapter 1- Health Assessment and the Nurse, 14 Chapter: 1 Integrated Processes: Clinical Problem Solving Patient Need: Physiological Adaptation Student Question: No 7. B Origin: Chapter 1- Health Assessment and the Nurse, 31 Chapter: 1 Integrated Processes: Clinical Problem Solving Patient Need: n/a Student Question: No 8. C Origin: Chapter 1- Health Assessment and the Nurse, 32 Chapter: 1 Integrated Processes: Clinical Problem Solving Patient Need: n/a Student Question: No

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9. A Origin: Chapter 1- Health Assessment and the Nurse, 16 Chapter: 1 Integrated Processes: Clinical Problem Solving Patient Need: Physiological Adaptation Student Question: No 10. C Origin: Chapter 1- Health Assessment and the Nurse, 3 Chapter: 1 Integrated Processes: Clinical Problem Solving Student Question: No

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