When documenting events in a patient's chart, the nurse should chart:

the specific time of all sudden changes in the patient's condition

the period the shift covers

every 2 hours

every hour on the hour

Answer and Explanation

The Correct Answer is A

A. The specific time of all sudden changes in the patient's condition: Timely documentation of sudden changes ensures accuracy in patient records and supports clinical decision-making.

B. The period the shift covers: While shift documentation is important, it does not replace event-specific charting.

C. Every 2 hours: Documentation frequency depends on patient status; critical changes require immediate recording, not just every 2 hours.

D. Every hour on the hour: Routine hourly documentation is unnecessary unless required by patient condition (e.g., ICU monitoring).

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Correct Answer is B

Explanation

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.

A. It serves as a reminder of human growth and development across the life span B. It helps in prioritizing nursing diagnoses and care C. It outlines the basic psychological needs that people have when they are hospitalized and feel anxiety D. It is a framework for thinking critically

Correct Answer is B

Explanation

A. It serves as a reminder of human growth and development across the life span: Maslow’s hierarchy focuses on prioritizing needs, not general growth and development.

B. It helps in prioritizing nursing diagnoses and care: Maslow’s hierarchy is used to prioritize patient needs, ensuring physiological needs (oxygen, fluid, nutrition) come first before psychological and self-actualization needs.

C. It outlines the basic psychological needs that people have when they are hospitalized and feel anxiety: Maslow includes psychological needs, but its primary purpose is prioritizing all human needs, including physiological ones.

D. It is a framework for thinking critically: While it aids in clinical decision-making, critical thinking encompasses broader concepts beyond Maslow’s hierarchy.

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When documenting events in a patient's chart, the nurse should chart:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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

Correct Answer is B

Explanation

JCAHO regulates standards of care to:

Select the type of assessment which is performed continuously throughout nurse-patient contact:

Patient health care records are:

Which of the following assists the nurse in the identification of nursing diagnoses?

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation. The nurse realizes grouping this data represents:

A nurse is receiving a provider's prescription by telephone for morphine for a patient who is reporting moderate to severe pain. Which of the following nursing actions should the nurse take? (Select all that apply)

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?

When documenting events in a patient's chart, the nurse should chart: