Which of the following describes the primary difference between nursing diagnosis and medical diagnosis quizlet?
|
Developing sound clinical judgment is a professional responsibility of the nurse. Which statements indicate behaviors that improve clinical judgment? (Select all that apply.) Show
"I have read the professional nursing standards." "I always assess before acting and make changes as needed." "I only work the shifts I am assigned and usually refuse to float to other units."! "I believe that every patient deserves my very best efforts." Critical thinking in nursing needs to include which of the following important variables? a. Consideration of ethics and responsible decision making b. Ability to act quickly, often on impulse c. Ability to determine the best nursing interventions regardless of patients values and beliefs d. Flexible thinking that rarely follows a pattern or considers standards a. Consideration of ethics and responsible decision making A nursing student asks a faculty member how to improve critical thinking. Which response by the faculty is best? a. Dont worry too much; it will come with time and experience. b. Pay close attention to how you solve problems; assess your own style of thinking. c. Spend time shadowing an experienced nurse to see how it is done. d. Use ethical standards to guide how you approach patient situations. b. Pay close attention to how you solve problems; assess your own style of thinking. Which of the following is a characteristic of an accomplished critical thinker? a. Inquisitiveness b. Narrow focus c. Unaffected by other arguments d. Quick decision making a. Inquisitiveness Which of the following statements describes the purpose of the nursing process? a. Process of documentation designed to decrease liability b. Process designed to maximize reimbursement potential c. A sophisticated time-management strategy d. Process used to identify and solve patient problems d. Process used to identify and solve patient problems Which of the following is considered subjective data in information gathering from the patient? a. Pulse and blood pressure measurements b. ECG pattern c. Diaphoresis d. Pain d. Pain A nursing student is complaining about writing care plans. Which response by the faculty is best to help the student see the importance of this activity? a. Using the nursing process will help nurses get reimbursement for their services. b. You need a written plan of care so everyone is on the same page as you are. c. The nursing process is a way to systematically think about and use patient data. d. Most state nurse practice acts require them, so you need to learn how to do them. c. The nursing process is a way to systematically think about and use patient data. Which of the following is considered objective data obtained from the patient? a. I cant catch my breath. b. Patient expresses concern about missing work. c. Patient nods, indicating an affirmative answer to a question. d. Blood pressure is 110/70 at 8 PM. d. Blood pressure is 110/70 at 8 PM. The nurse observes a patient lying rigidly in bed and taking shallow breaths. The patient reports a pain score of 4 out of 5 and says, My leg hurts. The nurse determines that the objective and subjective data are a. incongruent and require more assessment. b. insufficient to make any conclusions. c. congruent and support that the patient is in pain. d. unclear; the nurse needs to talk to the patients family for more information. c. congruent and support that the patient is in pain. A nurse is admitting a non-English speaking patient to the hospital unit. Which is the best method of obtaining data from the patient? a. Asking the other family members to help interpret b. Performing a physical examination on the patient c. Interviewing the patient using a professional interpreter d. Attempting to obtain past medical records for this patient c. Interviewing the patient using a professional interpreter What is the primary method of obtaining patient data? a. Medical record b. Speaking with family c. Interview with patient d. Physical examination c. Interview with patient What does the process of analysis of patient data directly result in? a. Validating actual problems or diagnoses b. Determining the nursing interventions of importance c. Identifying actual or potential problems amenable to nursing intervention d. Confirming the medical diagnosis c. Identifying actual or potential problems amenable to nursing intervention Which of the following describes the primary difference between nursing diagnoses and medical diagnoses? a. Nursing diagnoses identify simple instead of complex problems. b. Nursing diagnoses must be verified by a physician. c. Nursing diagnoses, like medical diagnoses, identify medical diseases. d. Nursing diagnoses identify problems that can be treated with independent nursing actions. d. Nursing diagnoses identify problems that can be treated with independent nursing actions. Which of the following is a correctly stated nursing diagnosis? a. Fluid volume deficit b. Hypovolemia related to vomiting c. Fluid volume deficit related to vomiting as evidenced by increased heart rate and decreased urine output d. Hypovolemia related to nausea as evidenced by restlessness and anxiety c. Fluid volume deficit related to vomiting as evidenced by increased heart rate and decreased urine output A patient is admitted with the diagnosis of bronchitis, congestive heart failure, and fever. The nurses assessment finds a temperature of 101 F, peripheral edema, and rhonchi. Which of the following is the best etiology to support the nursing diagnosis of ineffective airway clearance? a. Peripheral edema b. Retained secretions c. Bronchitis d. Congestive heart failure b. Retained secretions Why is the etiology of the nursing diagnosis statement important? a. If the etiology is incorrect, the nursing interventions are likely to be ineffective. b. The etiology will be the same each time the nursing diagnosis is identified. c. The etiology is necessary to identify the defining characteristics. d. The etiology determines whether the problem can be solved. a. If the etiology is incorrect, the nursing interventions are likely to be ineffective. A patient is admitted with asthma. The nurses assessment finds a temperature of 99 F, wheezing, speaking in three-word phrases, and respiratory rate of 16 breaths per minute. Which of the following are the best defining characteristics to support the diagnosis of ineffective airway clearance related to inflammation and constriction of the bronchial tree? a.Elevated temperature and respiratory rate b. Diagnosis of asthma with wheezing c. Wheezing and speaking in three-word phrases d. Limited vocalization and fever c. Wheezing and speaking in three-word phrases Which of the following patient problems is given the highest priority by the nurse? a. Anxiety related to hospitalization as manifested by hyperactive state b. Impaired tissue perfusion, cerebral, related to hypoxia as manifested by decreased level of consciousness c. Impaired skin integrity related to surgical incision d. Risk for fluid volume overload related to imbalance in antidiuretic hormone as manifested by peripheral edema and decreased sodium b. Impaired tissue perfusion, cerebral, related to hypoxia as manifested by decreased level of consciousness Which of the following patient problems is given the highest priority by the nurse using Maslows hierarchy of needs? a. Anxiety related to fear of the hospital b. Ineffective airway clearance related to retained secretions c. Fluid volume excess related to third spacing of fluid (edema) d. Ineffective thermoregulation related to fever b. Ineffective airway clearance related to retained secretions The identification of nursing diagnosis and goal setting should ideally be a collaborative process between the nurse and which other party? a. Physician b. Nurse manager c. Patients family d. Patient
d. Patient Which of the following statements has all of the necessary criteria for a well-written outcome? a. Patient will consume 50% of meals with no nausea and vomiting by 24 hours postsurgery. b. Therapist will report improvement in patients range of motion on a daily basis. c. Patient will ambulate in the halls a little today. d. Patients condition will improve before discharge. a. Patient will consume 50% of meals with no nausea and vomiting by 24 hours postsurgery. A patient is in respiratory distress and placed on oxygen. Which is the most appropriate short-term goal? a. Nasal cannula remains in place. b. Patient completes morning care and eats breakfast. c. Patient verbalizes that he is breathing better after lunch. d. Patient maintains an oxygen saturation of 90% during the shift. d. Patient maintains an oxygen saturation of 90% during the shift. Which of the following is an appropriate long-term goal to measure diabetes control for a patient in whom diabetes has been newly diagnosed? a. Patient will inject insulin twice daily. b. Patient will keep appointments with physician over the next 6 months. c. Patients A1c will be 5% at 1 year postdiagnosis. d. Patients recorded blood glucose will be between 60 and 120 mg/dL each day. c. Patients A1c will be 5% at 1 year postdiagnosis. Which of the following is an independent nursing intervention? a. Teaching a patient with congestive heart failure to weigh herself daily b. Recommending an extra dose of diuretic to the patient whose weight has increased 2 pounds overnight c. Changing the first surgical dressing on a patient after surgery d. Transferring a patient out of the intensive care unit 2 days after vascular surgery a. Teaching a patient with congestive heart failure to weigh herself daily Which of the following represents an interdependent nursing action? a. Giving the patient an ordered medication b. Bathing the patient c. Inserting a Foley catheter d. Participating in a code (cardiac arrest response) d. Participating in a code (cardiac arrest response) The use of standardized plans of care for different patient populations has a. facilitated the use of critical paths as interdisciplinary plans of care. b. required the nurse to individualize the plan of care to the patient. c. eliminated the need for the nurse to develop a plan of care for an individual. d. increased the time the nurse has to document the plan of care. b. required the nurse to individualize the plan of care to the patient. The nurse instructs the patient about incentive spirometry as preoperative teaching. Which phase of the nursing process does this illustrate? a. Assessment b. Planning c. Implementation d. Evaluation c. Implementation In the nursing process, the evaluation phase is used to determine the a. value of the nursing intervention. b. accuracy of problem identification. c. the quality of the plan of care. d. degree of outcome achievement. d. degree of outcome achievement. A nurse reviewing a patients care plan notes a goal of Patient will ambulate 50 feet, three times in the hallway today. According to Bloom, what taxonomic category is this goal? a. Affective domain b. Physical domain c. Psychomotor domain d. Cognitive domain c. Psychomotor domain A well-cultivated critical thinker is an individual who does which of the following? (Select all that apply.) a. Raises questions b. Recognizes alternative ways to see problems c. Uses only logic to determine relevance of information d. Implements solutions to complex problems only as an individual e. Criticizes solutions and alternatives suggested by others a. Raises questions b. Recognizes alternative ways to see problems The nurse is admitting a patient for surgery. The patient is twisting a handkerchief over and over while saying, Im going to have a little mole removed. Im not worried. The surgery will take only an hour, and then I will go home. Ive never been sick a day in my life, so Ill be fine. The nurse finds the following during her physical assessment: blood pressure is 150/90; temperature is 98.6 F; pulse is 88 beats per minute; respiration is 20 breaths per minute; black, brown, and red pigmented pea-sized raised area on her shoulder. Which of the above information would be considered objective data? (Select all that apply.) a. Twisting handkerchief b. Blood pressure 150/90 c. Im having this little mole removed. d. Patient is worried. e. Patient is exhibiting denial. a. Twisting handkerchief b. Blood pressure 150/90 Several methods have been developed to assist nurses in organizing patient data. They include (Select all that apply.) a. Hendersons 14 nursing problems. b. Gordons 11 functional health patterns. c. Nightingales ecological framework. d. Abdellahs 21 nursing problems. a. Hendersons 14 nursing problems. b. Gordons 11 functional health patterns. d. Abdellahs 21 nursing problems. The nurse is admitting a patient for surgery. The patient is twisting a handkerchief over and over while saying, Im going to have a little mole removed. Im not worried. The surgery will take only an hour, and then I will go home. Ive never been sick a day in my life, so Ill be fine. The nurse finds the following during her physical assessment: blood pressure is 150/90; temperature is 98.6 F; pulse is 88 beats per minute; respiration is 20 breaths per minute; black, brown, and red pigmented pea-sized raised area on her shoulder. Which of the above information would be considered subjective data? (Select all that apply.) a. Pigmented mole on shoulder b. I'm not worried I'll be fine. c. Patient is anxious. d. Heart rate is increased. e. The surgery will take only an hour and then I will go home. b. I'm not worried I'll be fine. e. The surgery will take only an hour and then I will go home. Developing sound clinical judgment is a professional responsibility of the nurse. Which statements indicate behaviors that improve clinical judgment? (Select all that apply.) a. I always assess before acting and make changes as needed. b. I work the shifts I am assigned. c. I look for research findings to support my nursing actions. d. I believe that every patient deserves my very best efforts. e. I have read the professional nursing standards. a. I always assess before acting and make changes as needed. c. I look for research findings to support my nursing actions. d. I believe that every patient deserves my very best efforts. e. I have read the professional nursing standards. Which action can the nurse take to demonstrate critical thinking skills? a. Educate the patient on how to perform wound care at home. b. Take extra patients on a busy day. c. Communicate effectively as solutions are being formulated. d. Orient a new nurse to the unit. c. Communicate effectively as solutions are being formulated. Which statement by the nurse indicates that further teaching is needed, based on the Paul-Elder critical thinking framework? a. "The critical thinker raises questions and problems and formulates them clearly and precisely." b. "The critical thinker is closed minded." c. "The critical thinker gathers and assesses relevant information, using abstract ideas for interpretation." d. "The critical thinker communicates effectively with others." b. "The critical thinker is closed minded." The student nurse is discussing consultation as a means of gathering patient data with a clinical instructor. Which statement by the nurse indicates that teaching has been effective? a. "Consultation involves performing a physical assessment." b. "Nurses can use consultation to obtain patient data from other healthcare providers." c. "Consultation is used during the patient interview, and data is obtained from the patient." d. "Nurses cannot use consultation, as it is outside of the nurse's scope of practice." b. "Nurses can use consultation to obtain patient data from other healthcare providers." The nurse is caring for a patient who is well-known in the community. Which action should the nurse take to protect the patient's privacy? a. Share the information with only one of patient's family members. b. Make sure that social media accounts are set as private before sharing information. c. Only share information with health care providers directly involved in the care of the patient. d. Only have conversations about the patient in the staff break room. c. Only share information with health care providers directly involved in the care of the patient. The nurse is working in a busy emergency department, and is preparing to perform an interview and assessment on a patient with COPD exacerbation. Which factor(s) should the nurse expect to affect the patient interview? a. The patient's shortness of breath. b. The weather outside. c. The presence of family members. d. The nurse's phone ringing. e. The physician walking into the room. a. The patient's shortness of breath. c. The presence of family members. d. The nurse's phone ringing. e. The physician walking into the room The nurse plans to obtain subjective data from the patient. Which action should the nurse take to obtain this information? a. Take the patient's blood pressure. b. Order a lab draw to check blood glucose. c. Ask the patient to stand and walk. d. Ask the patient to rate pain. d. Ask the patient to rate pain. Which statement by the nursing student indicates that further teaching is needed on the nursing process? a. "The nursing process is a method of addressing clinical problems." b. "The nursing process is one area of nursing that has been without criticism." c. "The nursing process is a creative approach to thinking and decision making." d. "The nursing process is the cornerstone of nursing standards." b. "The nursing process is one area of nursing that has been without criticism." The student nurse is listening to a lecture on methods of collecting patient data. Which statement indicates that more teaching is needed? a. "The physical environment can influence the quality of the interview." b. "The presence of family members can constrain the flow of information from the patient." c. "Internal factors related to the patient's condition rarely influence the type and amount of data obtained." d. "Patients may not speak freely in a semi-private room." c. "Internal factors related to the patient's condition rarely influence the type and amount of data obtained." The nurse is caring for a patient with chest pain. Which action should the nurse take to obtain objective data? a. Ask how the patient is feeling. b. Note that the patient is diaphoretic. c. Ask the patient to describe the symptoms. d. Ask what the patient believes is the problem. b. Note that the patient is diaphoretic. The nurse is planning short term goals for a patient. Which goal should be included? a. Quit smoking. b. Lose 50 pounds. c. Lower cholesterol by 30 points. d. Sleep 8 hours per night. d. Sleep 8 hours per night. Which of the following describes the primary difference between nursing diagnosis and medical diagnoses?The main difference between the nursing diagnosis and medical diagnosis is that the medical diagnosis is specific to the disease or illness pathology while the nursing diagnosis focuses on the patient and his or her physiological and psychological response.
What is the difference between nursing and medical diagnosis quizlet?What is the difference between a medical diagnosis and a nursing diagnosis? A medical diagnosis deals with disease or medical condition. A nursing diagnosis deals with human response to actual or potential health problems and life processes.
What is the primary difference between a risk nursing diagnosis and an actual nursing diagnosis?Risk diagnoses do not have defining characteristics; actual and health-promotion nursing diagnosis statements have defining characteristics. Risk diagnoses do not establish a cause and effect, because they identify potential rather than existing problems.
Could two patients with the same medical diagnosis have different nursing diagnosis?Patients with the same medical diagnosis will often respond differently to that diagnosis and thus have different nursing diagnoses. For example, two patients have the same medical diagnosis of heart failure.
|
