What are the six elements of the nursing process?

Assessment, diagnosis, intervention, evaluation, discharge, documentation

Assessment, planning, intervention, evaluation, discharge, follow-up

Assessment, diagnosis, planning, interventions evaluation, education

(Re)Assessment, diagnosis, outcomes, planning, implementation, evaluation

Answer and Explanation

The Correct Answer is D

A. Assessment, diagnosis, intervention, evaluation, discharge, documentation. Discharge and documentation are important but are not part of the core nursing process.

B. Assessment, planning, intervention, evaluation, discharge, follow-up. Follow-up is not a standard step in the nursing process.

C. Assessment, diagnosis, planning, interventions, evaluation, education. Education is important but is not one of the six standard nursing process steps.

D. (Re)Assessment, diagnosis, outcomes, planning, implementation, evaluation. This accurately outlines the nursing process, which involves reassessing the patient, diagnosing, setting expected outcomes, planning care, implementing interventions, and evaluating effectiveness.

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Correct Answer is D

Explanation

A. Bipolar disorder: Bipolar disorder involves episodes of mania and depression but does not typically present with postpartum psychotic symptoms such as hallucinations.

B. Premenstrual dysphoric disorder: This is a severe form of premenstrual syndrome (PMS) that affects mood, but it is not associated with postpartum psychosis or auditory hallucinations.

C. Psychotic depression: Psychotic depression can include hallucinations, but in a postpartum context, postpartum psychosis is the more likely diagnosis.

D. Postpartum depression: Severe postpartum depression can lead to postpartum psychosis, which includes symptoms like hallucinations and delusions. This is a medical emergency requiring immediate intervention.

A. Discontinue suctioning and administer 100% oxygen B. Discontinue suctioning and prepare for resuscitation C. Continue suctioning and administer 50% oxygen D. Continue suctioning and administer prescribed epinephrine

Correct Answer is A

Explanation

A. Discontinue suctioning and administer 100% oxygen: A drop in oxygen saturation and bradycardia indicates the patient is not tolerating suctioning. The priority is to stop suctioning and administer 100% oxygen to prevent hypoxia.

B. Discontinue suctioning and prepare for resuscitation: While severe cases may require resuscitation, the immediate intervention is oxygen administration, not premature resuscitation efforts.

C. Continue suctioning and administer 50% oxygen: Continuing suctioning may worsen hypoxia and bradycardia. Administering 50% oxygen may not be sufficient in a critical situation.

D. Continue suctioning and administer prescribed epinephrine: Epinephrine is used for anaphylaxis and severe cardiac issues, not for managing suction-related hypoxia.

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What are the six elements of the nursing process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the clinic is assessing a postpartum client. The client states that they sleep all the time and are hearing voices telling them to harm their child. The nurse should identify that the client is likely experiencing which of the following?

Correct Answer is D

Explanation

The nurse performs in-line suctioning when the patient experiences a decrease in oxygen saturation and bradycardia. Which nursing action is best?

Correct Answer is A

Explanation

A nurse is caring for a client who has metabolic acidosis. Which of the following could be a cause for the for metabolic acidosis?

Which identifier should the nurse use during the initial time-out to determine the right patient?

The nurse provides care to a patient who is recovering from facial trauma who requires high-flow oxygen therapy. Which method of oxygen delivery does the nurse recognize as best for this patient?

In teaching the patient about postoperative pain management, which statement by the nurse is best?

A nurse is caring for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. The nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?

What are some potential side effects of mood stabilizers?

The nurse is providing education to a patient regarding the use of an incentive spirometer. Which patient statement requires further education?

A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?