SHAIRA MAE S.

TUPAZ
UI-FC2-BSN1-1
FUNDAMENTALS OF NURSING (LEC)
SESSION 9-10

SESSION 9
CHECK FOR UNDERSTANDING

1. ANSWER: B
RATIO: Collecting Data is the process of gathering information about a client's health status.

2. ANSWER: C
RATIO: The interview, or the history. provides the date base from which all other phases of
the nursing process will flow.

3. ANSWER: B
RATIO: The patient will breath unlabored at 14 to 18 breaths per minute by the end of the
shift.

4. ANSWER: C
RATIO: Visual representation of all of a patient's nursing diagnoses that allows you to diagram
interventions for each.

5. ANSWER: C
RATIO: Consultation occurs most often during planning of the nursing process.

6. ANSWER: E
RATO: Concept mapping s one way to connect concepts to a central subject, relate ideas to
patient problems, challenge a nurses thinking about patient.

7. ANSWER: A
RATIO: The student should assess the patent and, if unsure of the finding, ask a faculty
member to assess the patient.

8. ANSWER: B
RATIO: The nurse identifies human responses to actual or potential health problems during
the
nursing diagnoses step of the nursing process.

9. ANSWER: D
RATIO: This is the primary purpose of a nursing admission assessment.

10. ANSWER: D
RATIO: A nursing diagnosis is a statement about a patients actual or potential health problem
that is within the scope of independent nursing intervention.

SESSION 10
CHECK FOR UNDERSTANDING

1. ANSWER: B
RATIO: Nurse-initiated intervention are determined by state Nurse Practice Acts.

2. ANSWER: D
RATIO: The patient will identify the need to increase dietary intake of fiber by June 5.

3. ANSWER: B
RATIO: Your patient has met the goals set for improvement of ambulatory status. You would
now discontinue the care plan.

4. ANSWER: B
RATIO: Expected outcome is an end result that is measurable, desirable, and observable and
translates into observable patient behaviors

5. ANSWER: A
RATIO: To evaluate interventions, you need to examine the appropriateness of the
interventions
and the correct application of the implementation process.

6. ANSWER: A
RATIO: Legal and ethical obligations require health care providers to keep information strictly
confidential.

7. ANSWER: B
RATIO: When completing the admission paper work, the nurse needs to record objective data
that are observed.

8. ANSWER: C
RATIO: Narrative charting is the traditional form of nursing documentation, is a stony format
documenting client status, interventions, treatments, and responses.

9. ANSWER: D
RATIO: The purpose of an incident report is to aid in the hospital quality improvement
program.

10. ANSWER: A
RATIO: This is an example of a cognitive skill, being used before consultation. It involves
critical
thinking and decision making so the nurse is able to deliver a relevant nursing intervention.