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Glossary of Medical Surgical Nursing Chapter 1

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An example of a nursing activity that reflects the American Nurses Association’s definition of nursing is
A. establishing that the patient with jaundice has hepatitis.
B. determining the cause of hemorrhage in a postoperative patient based
diagnosing that a patient with pneumonia cannot effectively cough up pulmonary secretions
When using evidence-based practice, the nurse
A. must use clinical practice guidelines developed by national health agencies.
B. should use findings from randomized clinical trials to plan care for all patient problems.
C. uses clinica
uses clinical decision making and judgment to determine what evidence is appropriate for a specific clinical situation
Standardized nursing languages benefit patient care in that
A. patient problems and nursing care are clearly defined.
B. nurses use the same terminology as physicians in delivery of patient care.
C. a consistent, universal format is us
patient problems and nursing care are clearly defined.
When the nurse determines that the patient’s anxiety needs to be relieved before effective teaching can be implemented, the phase of the nursing process being used is
A. assessment.
B. diagnosis.
C. planning.
D. evaluation.
planning.
An example of an independent nursing intervention is
A. administering blood.
B. starting an intravenous fluid.
C. teaching a patient about the effects of prescribed drugs.
D. administering emergency drugs according to institution
teaching a patient about the effects of prescribed drugs
The process of making a nursing diagnosis differs from a diagnostic statement in that the diagnostic process involves
A. stating what needs the patient has.
B. identifying factors related to the pathology of a disease process.
C. ident
analyzing assessment data to identify responses to health problems.
The nurse identifies the nursing diagnosis of constipation related to laxative abuse for a patient. The most appropriate expected patient outcome related to this nursing diagnosis is that
A. the patient will stop the use of laxatives.
B. the
the patient passes normal stools without aids
A patient has a nursing diagnosis of stress urinary incontinence related to overdistention between voidings. An appropriate nursing intervention for this patient related to this nursing diagnosis is to
A. provide privacy for toileting.
B. mo
C. teach the patient to void at 2-hour intervals.
Linkages of NANDA nursing diagnoses, NOC patient outcomes, and NIC nursing interventions can be used to
A. evaluate patient outcomes.
B. provide guides for planning care.
C. predict the results of nursing care.
D. shorten written
provide guides for planning care.
The primary purpose of the evaluation phase of the nursing process is to
A. assess the patient’s strengths.
B. describe new nursing diagnoses.
C. implement new nursing strategies.
D. identify patient progress toward outcomes.
identify patient progress toward outcomes.
The use of computers to document nursing practice with nursing languages
A. protects patient anonymity and confidentiality.
B. establishes that high standards of care are met.
C. assists in the evaluation of the effectiveness of nursin
assists in the evaluation of the effectiveness of nursing interventions

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