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Select the proper order of the phases of the Nursing Process:

Evaluation, planning, assessment, implementation

Assessment, planning, implementation, evaluation

Implementation, assessment, planning, evaluation

Planning, evaluation, assessment, implementation

Answer and Explanation

The Correct Answer is B

A. Evaluation, planning, assessment, implementation: Evaluation is the last step, not the first.

B. Assessment, planning, implementation, evaluation
The correct order of the nursing process is:

Assessment – Gather data
Planning – Develop goals and interventions
Implementation – Carry out the plan
Evaluation – Determine effectiveness and adjust as needed

C. Implementation, assessment, planning, evaluation: Assessment must come first before implementing any plan.

D. Planning, evaluation, assessment, implementation: Planning comes after assessment, and evaluation is last, not second.

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Correct Answer is C

Explanation

A. The care plan: While important for care, the care plan alone does not provide a full picture of patient care over time.

B. The medical orders: Medical orders show physician instructions but do not capture the full scope of patient care.

C. The entire record: The entire medical record can be subpoenaed and used as legal evidence, including notes, orders, test results, and nursing documentation.

D. Nursing notes: Nursing notes are part of the medical record but do not represent the full legal documentation on their own.

A. Physician's Order Sheet B. Narcotic Administration Sheet C. Care Plan D. MAR and Narcotic Administration Sheet

Correct Answer is D

Explanation

A. Physician's Order Sheet: While the physician orders narcotics, administration is not documented here.

B. Narcotic Administration Sheet: The Narcotic Administration Sheet is specifically for controlled substances, ensuring proper tracking and preventing misuse.

C. Care Plan: The care plan outlines patient goals and interventions, not medication administration.

D. MAR (Medication Administration Record) and Narcotic Administration Sheet: The MAR (Medication Administration Record) documents all medications given to the patient. The Narcotic Administration Sheet is required for controlled substances to comply with regulations.

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Select the proper order of the phases of the Nursing Process:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which part of the medical record can be used as evidence in court?

Correct Answer is C

Explanation

On what form/forms should the nurse chart when administering a narcotic?

Correct Answer is D

Explanation

How is Maslow's Hierarchy of Human Needs used by nurses in a clinical setting?

The primary source of assessment information is:

Subjective data provided by the patient included complaints of intermittent chest pain upon exertion. When performing a complete physical examination, the nurse might use an organized approach such as:

Compare an actual nursing diagnosis with a risk for nursing diagnosis, recognizing that in the case of the actual nursing diagnosis

Understanding that health care personnel must respect the confidentiality of patients' records, the nurse:

When using the SOAP method of charting, S stands for subjective data which means:

A patient with edema has a problem of fluid overload. The nurse is developing a care plan and selecting interventions that will assist the patient in reducing the fluid. An important consideration when developing the care plan is to: