The nurse is using critical thinking skills during the first phase of the nursing process. Which action indicates the nurse is in the first phase?

Determines whether outcomes have been achieved

Identifies pertinent nursing diagnoses

Completes a comprehensive database

Intervenes based on priorities of patient care

Answer and Explanation

The Correct Answer is C

A. Outcome evaluation is part of the final phase.

B. Nursing diagnoses come after assessment.

C. The first phase of the nursing process is assessment, which includes collecting a comprehensive database of patient information.

D. Interventions occur in the implementation phase.

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Correct Answer is C

Explanation

A. Increased pain and frequent falls indicate unmet outcomes.
B. Frequent falls indicate unmet outcomes.
C. This demonstrates progress toward independence in mobility.
D. Difficulty ambulating shows ongoing impairment.

A. "Is this your first time experiencing these symptoms?" B. "Do you have any allergies?" C. "Can you describe what brought you to the hospital today?" D. "Are you feeling any pain right now?"

Correct Answer is C

Explanation

A. This is a closed-ended question that leads to a simple "yes" or "no" response, limiting the amount of information the nurse gathers.

B. While this is important information, it is not an appropriate opening question for a full nursing assessment, as it does not encourage the patient to share their primary concern.

C. This open-ended question allows the patient to provide a detailed narrative, helping the nurse gather a comprehensive history.

D. This is a closed-ended question that focuses only on pain rather than encouraging the patient to share their full reason for seeking care.

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The nurse is using critical thinking skills during the first phase of the nursing process. Which action indicates the nurse is in the first phase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating whether patient goals and outcomes have been met for a patient with physical mobility problems due to a fractured leg. Which finding indicates the patient has met an expected outcome?

Correct Answer is C

Explanation

Which of the following is the most appropriate open-ended question to begin a nursing assessment?

Correct Answer is C

Explanation

The nurse manager notices that a staff nurse writes a nursing diagnosis as "Impaired Physical Mobility, related to laziness and not having appropriate shoes." Which issue related to the nursing diagnosis will the nurse manager discuss with the staff nurse?

The nurse begins discharge planning for an older adult with left-side weakness. Which action is most important in ensuring that the discharge plan is successful?

A nurse is providing nursing care to a group of patients. Which actions are direct care interventions? (Select all that apply.)

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Which of the following signs is most indicative of impaired skin integrity?

Which nursing diagnosis is written in the correct format when using NANDA-I taxonomy?