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Medicinal Assessment

Name

Course

Institution

Date
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Medicinal Assessment

Introduction:

The nursing process is a structured and flexible method that nurses utilize to provide

patient-centered care. Assessment, diagnosis, planning, execution, and evaluation are its five

steps. The nurse-patient scenario in this essay is followed by multiple-choice exam questions that

evaluate the many steps in the nursing procedure. To assess the test-taker's capacity for

knowledge application and solid clinical judgements, the test items are divided into analytical

and critical thinking categories.

Scenario:

When a 60-year-old male patient is brought to the hospital with chest discomfort,

shortness of breath, and diaphoresis, you, as the patient's registered nurse, are in charge of

providing care for him (Lacy et al, 2020). The patient smoked, had hyperlipidemia, and had high

blood pressure in the past. The patient's vital signs are as follows after evaluation: oxygen

saturation on room air is 92%, blood pressure is 160/90 mmHg, heart rate is 110 bpm, and

respiration rate is 24 breaths per minute. The patient says, "I feel like I'm going to die," and

exhibits anxiousness. He denies having ever had chest discomfort in the past. You carry out a

complete evaluation, taking data on the time, place, and extent of the chest discomfort as well as

any accompanying symptoms (Lacy et al, 2020). You also go through the patient's medical

history, prescriptions, and current way of life. An examination of the cardiovascular system is

done together with an auscultation of the heart and lungs (Lacy et al, 2020). You take into

account possible reasons such acute coronary syndrome, angina, or myocardial infarction based

on your examination (Musen et al, 2021). With the help of the medical staff and a rigorous
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analysis of the information gathered, you develop the nursing diagnosis of "Acute coronary

syndrome related to myocardial ischemia."

Directions for the Test-Taker:

Select the most appropriate response to each question after carefully reading the situation.

Choose the response that best describes the nursing process step that is being evaluated. For each

question, there is a one right response. Write your responses on the accompanying answer sheet.

Multiple-Choice Test Items:

1. The patient is questioned by the nurse on the onset, location, and progression of the chest

discomfort as well as any accompanying symptoms. Which nursing process stage does

this activity mostly reflect?

A) Assessment*

B) Diagnosis

C) Planning

D) Implementation

E) Evaluation

2. The nurse determines the likely nursing diagnosis as "Acute coronary syndrome related

to myocardial ischemia" based on the patient's symptoms and medical history. This

activity largely reflects what stage of the nursing process?

A) Assessment

B) Diagnosis*

C) Planning
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D) Implementation

E) Evaluation

3. The nurse works with the medical staff to create the patient's objectives and results, such

as easing chest discomfort, increasing oxygenation, and lowering anxiety. This activity

largely reflects what stage of the nursing process?

A) Assessment

B) Diagnosis

C) Planning*

D) Implementation

E) Evaluation

4. The nurse starts the patient's oxygen treatment at 2 liters per nasal cannula and gives the

patient sublingual nitroglycerin to ease chest discomfort. This activity largely reflects

what stage of the nursing process?

A) Assessment

B) Diagnosis

C) Planning

D) Implementation*

E) Evaluation

5. The nurse keeps track of the patient's reaction to interventions, reevaluates his vital signs,

and analyses the efficiency of pain management techniques. This activity largely reflects

what stage of the nursing process?

A) Assessment

B) Diagnosis
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C) Planning

D) Implementation

E) Evaluation*

True-False Test Item:

True or False: The nursing process is a linear, one-time approach to patient care.

Matching Test Item:

Directions: Match the nursing process step to the description that goes with it. Pick the letter that

corresponds to the right response choice. Each choice may be used a single time, several times,

or not at all.

Matching Options: A) Assessment B) Diagnosis C) Planning D) Implementation E) Evaluation

1. Involves gathering both subjective and factual information about the patient's health.

2. Recognizes the patient's medical issues and develops nursing diagnosis.

3. Works together to develop objectives and results with the patient and the medical staff.

4. Executes nursing interventions to produce desired results.

5. Entails keeping track of and evaluating the patient's reaction to therapies.

Matching Answers:

1. A) Assessment

2. B) Diagnosis

3. C) Planning
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4. D) Implementation

5. E) Evaluation

Summary:

This exercise shows how the nursing process may be evaluated in a real-world setting by

creating a variety of test items (Lacy et al, 2020). The analytical and critical thinking questions

on the multiple-choice exam questions evaluate the test-taker's knowledge of and application of

each stage of the nursing process (Musen et al, 2021). While the matching exercise assesses the

ability to match each step with its associated description, the true-false question assesses

knowledge about the nature of the nursing process (Musen et al, 2021). This activity emphasizes

the need of thorough nursing process knowledge for efficient patient care.

Conclusion:

Using a nurse-patient scenario, the goal of this work was to create test questions that

evaluate the various stages of the nursing process. We were able to assess the test-taker's

knowledge, analytical skills, and critical thinking abilities relevant to the nursing process by

developing multiple-choice, true-false, and matching test questions. This activity highlights the

value of comprehending and putting the nursing process into practice in clinical settings to

ensure patient-centered care and successful results.

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References

Lacy, A. M. P., Bowman, T. G., & Singe, S. M. (2020). Challenges faced by collegiate athletic

trainers, part I: organizational conflict and clinical decision making. Journal of athletic

training, 55(3), 303-311.

Musen, M. A., Middleton, B., & Greenes, R. A. (2021). Clinical decision-support systems.

In Biomedical informatics: computer applications in health care and biomedicine (pp.

795-840). Cham: Springer International Publishing.