nursing care plan sample questions

B. b. An example is: A. Answer: A. This is not a straight forward question. The primary nurse asked a clinical nurse specialist (CNS) to consult on a difficult nursing problem. Risk for Falls. The nurse is reviewing the critical paths of the clients on the nursing unit. C. A client scheduled for OT at 1300. This would be appropriate after first talking with the CNS about recommended changes in the plan of care and the rationale. A consultation requires review of the recommendations, but not immediate implementation. You can also copy this exam and make a print out. The following statement appears on the nursing care plan for an immunosuppressed client: The client will remain free from infection throughout hospitalization. C. Performing nursing actions and documenting them. Assist clients to identify feelings and begin to deal with problems. A client, who has a fever, is diaphoretic and restless. Answer: A. When you have some extra time, pick apart your kardex and look at the areas that have lines beside the caption for something to be written on them and review that section of your study guide to see what types of things the examiners can write there. c is a normal finding, d is positive. B. What is not okay is when you relate the problem to a surgery or surgical procedure or a person because then it sounds like you are blaming the person or the procedure and having a procedure is a good thing and a person helping you is a good thing. Some cases of this deficit can be short-term in nature i.e. C. Long-term goal A and D require an order; C is not appropriate for a fractured tibia. Nursing Interventions. An outcome needs to change for the better because a problem that exists. Knows the resources of the health care facility, family, and the client. 15. D. Review of the assessment is conducted with other team members. The nurse may need to obtain orders for special wound care products. The nursing process is a patient-centered, outcome-oriented method that directs the nurse and patient to accomplish the following: assess the patient, determine the diagnosis, identify expected outcomes and plan of care, implement the care, and evaluate the results. During the planning phase, you need to find actual problems that are occurring with this patient. Use this as a reference as you progress through your studies. Plan is developed for nursing care. Tabbing of your Mosby’s book is allowed. If you’re part of that number you shouldn’t feel like your fear is unique. After assessing the client, the nurse formulates the following diagnoses. The spouse’s reaction to the client’s dressing change. If this activity does not load, try refreshing your browser. The RN has received her client assignment for the day-shift. Because of differences in terms of genetic make-up, socio-economic capacities, geographical setting and values, nurses should conduct quality assessment methodologies and approaches in the course of documenting a either a healthcare plan or a nursing care plan samples. Normal VS and absence of wound infection in a post-op client. After making the initial rounds and assessing the clients, which client would the RN need to develop a care plan first? B. You have not finished your quiz. A client demonstrating accurate medication administration following teaching. (a. d. Another nurse most likely will not be knowledgeable about wounds, and the primary nurse would know the history of the wound management plan.). 9. Put bluntly, they feel like there is too much “gray area” or room for interpretation from examiners on whether their care plan is acceptable or not. While to watch american films when I use the formality and objectivity are always shocked by the preposition of. Loving care plans yet? B. Elevate the leg 5 inches above the heart. This pathology either causes hemorrhage from a tear in the ves… This is a serious life-threatening condition that occurs most often in Type I diabetics Teaching plan. (A & D require an order; C is not appropriate for a fractured tibia). A tool to set goals and project outcomes. Assist client to develop self-awareness of verbal and nonverbal behaviors. It is considered a visual jogger. To initiate an intervention the nurse must be competent in three areas, which include: Experience, advanced education, and skills. You are not alone. Will you have something to show them if you did not find it in the book? Family Nurse Practitioner Exam Sample Questions. D. Expected outcome. The primary nurse can then accept or reject the CNS recommendations. 16. Answer: B. Elevate the leg 5 inches above the heart. Be aware of and committed to accepted standards of practice from nursing and other disciples. Asking patient about pain is not specific enough but asking patient to rate pain using a 0-10 verbal pain scale is appropriate. When developing a nursing care plan for self care deficit, it is possible that nurses will find patients with one or more self-care deficiencies in hospitals and in community settings. Other choices are all subjective and emotional issues about the current treatment plant and may cause bias in the decision of a new treatment plan by the nurse consultant. Option C: Nursing process is not optional since standards demand the use of it. 20. Take up the test below and get to find out for sure! D. A client who just had an appendectomy and has just received pain medication. During the planning phase, you need to find actual problems that are occurring with this patient. Also, this page requires javascript. Well formulated, client-centered goals should: A client’s wound is not healing and appears to be worsening with the current treatment. Then the primary nurse should call the physician. This course is going to expand on that for you and show you the most effective way to Write a Nursing Care Plan and how to use Nursing Care Plans in the clinical setting. When you have questions, always refer back to your study guide. I hope this helps fill in some of the gray area that is keeping you from writing care plans with confidence. Nursing care plan is categorized and organized into four columns which include nursing diagnosis, outcomes and goals, nursing interventions, and their further evaluation. Answer: D. The state board examinations for professional nursing practice now use the nursing process rather than medical specialties as an organizing concept. 13. It can be related to any of the following: 1. The nurse first considers: Calling in the wound care nurse as a consultant is appropriate because he or she is a specialist in the area of wound management. These questions are very easy and straightforward, not what is expected. Assessment Nursing Diagnosis Patient. Administer aspirin 325 mg every 4 hours as needed, This does not require a physician’s order. When calling the nurse consultant about a difficult client-centered problem, the primary nurse is sure to report the following: A. So don’t blame a person or a procedure. Lupus symptoms may mimic other disorders and may go undet… 11. c. Unless the nurse is knowledgeable in wound management, this could delay wound healing. Option C is possible unless the nurse is knowledgeable in wound management, this could delay wound healing. then yes you can say “maintain” for an intervention. Even though you have not seen the patient yet, looking in the chart and asking the primary nurse questions will lead you to knowing what problems are currently existing. In performing a variance analysis, which of the following would indicate the need for further action and analysis? Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing … What if the examiner asks you to show them where you got that intervention? That is where a GRID comes into play. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! D. Response when compared to another client with a like problem. It does not. Nursing diagnosis However, if you narrow it down to something like palpate pedal pulses, that would be acceptable. Physician and nurse interventions. Once you have several Nanda labels picked out, you prioritize according to Maslow’s to come up with your top two Nanda labels. 18. Plan is developed for nursing care. Length of time the current treatment has been in place. C. Client will report pain acuity less than 4 on a scale of 0-10. This page contains comprehensive and essential nursing care plans addresses each diseases. Sample Adequate Nursing Care Plan (2 pages) Work of 2nd Semester Junior Nursing Student. Which of the following statements about the nursing process is most accurate? A GRID is not necessary. The Physician determines the plan of care for the client. Tell me about a time when a patient's family was dissatisfied with … Patients with lupus may have phases of worsening symptoms called “flares” and other periods of milder symptoms. Other choices are subjective and emotional issues and conclusions about the current treatment plan may cause bias in the decision of a new treatment plan by the nurse consultant. The primary nurse requested the consultation, it is important that they communicate and discuss recommendations. Don’t panic if you feel overwhelmed. D. All of the above. 10. If the intervention is in your nursing diagnosis book that is a start but you still need to ask yourself two questions: Am I assigned this intervention on my kardex? A documentation of client care. Answer: B. Just because it is in your book does not mean it is a correct intervention. Write the Planning Part of Your Nursing Care Plan. Be in charge of all care and planning for the client. 23. Any items you have not completed will be marked incorrect. Whatever it takes. Nursing Care Plan Examples- Get the best nursing care plan, particular diseases, diagnosis, performing interventions, familiarizing signs, plan, and … Encourage client to implement guided imagery when pain begins. Calling in the wound care nurse as a consultant is appropriate because he or she is a specialist in the area of wound management. Knowledge, function, and specific skills It is clearly expressed in your EC study guide that you are allowed to highlight. C. Normal VS and absence of wound infection in a post-op client. The nurse writes an expected outcome statement in measurable terms. Validation assessments should be one specific assessment that is clear on what you are looking for or how you are going to perform the assessment. Don’t worry if you feel overwhelmed. B. Some of the recommendations may not be appropriate for this client. If you leave this page, your progress will be lost. If loading fails, click here to try again. It is usually placed on a blank form in your pcs packet or some will put it on the very back of the packet. C. Not change the plan of care for the client. Nurses may not be angels, but they are the next best thing. ), Apply continuous passive motion machine during day, Elevate head of bed 30 degrees before meals. Select all that apply. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. So why do most students fear care plans? Lupus can affect the skin, joints, heart, lungs, kidneys, blood vessels and brain. This does not require a physician’s order. B. Let’s test your knowledge about the nursing … Tricky question. D. Client will take pain medication every 4 hours around the clock. If you need more clarifications, please direct them to the comments section. Physical assessment begins The primary nurse is obligated to: Implement the specialist’s recommendations, Report the recommendations to the primary physician, Clarify the suggestions with the client and family members, Discuss and review advised strategies with CNS, Because the primary nurse requested the consultation, it is important that they communicate and discuss recommendations. B. When calling the nurse consultant about a difficult client-centered problem, the primary nurse is sure to report the following: Length of time the current treatment has been in place, The spouse’s reaction to the client’s dressing change, Client’s concern about the current treatment, Physician’s reluctance to change the current treatment plan. Be sure to read them. Highest possible level of wellness and independence in function. Nursing Care Plan (Sample Assignment) Ms Nancy Huang is a 29 year old university student undertaking her honour’s year in physics. Alert and have some degree of independence. 8. Treatment plan and individual responsibility for activities. The purpose of a GRID is organization and to keep you on track during your pcs. 45+ Best Gifts for Nurses: Clever Ideas and Awesome Tips! B. Answer: A. Get the complete list! A rule of thumb, if assigned comfort management you go with Impaired comfort. If you ask yourself “if I do this then will it move the patient toward the outcome,” your answer will always be no for an assessment therefore it cannot be used. 1. The answers to the sample questions are provided after the last question. This course is going to expand on that for you and show you the most effective way to write a Nursing Care Plan and how to use Nursing Care Plans in the clinical setting. D. Change dressing once a shift. A patient becomes at risk for infection if he is vulnerable to pathogenic organisms. B. The nursing process is still implemented in making this type of care plan… The r/t is the cause. 🙂 In our next post we’ll be giving you 63 CPNE Care Plan Questions: Part 2, so stay tuned.Â, Copyright 2014 - ATL Clinical Workshop - All Rights Reserved. c. The client and family do not have the knowledge to determine whether new strategies are appropriate or not. Answer: B. Client-centered goals and expected outcomes are established. If you are caring for a patient who is in pain, it’s important that you know the skills to assess and manage his discomfort properly. Planning is a category of nursing behaviors in which: The nurse determines the health care needed for the client. The interventions are found in the shaded boxes in the Mosby’s book under each Nanda label. Perform neurovascular checks. When establishing realistic goals, the nurse: A. 16. Priorities are determined by the client’s: A. The diagnostic statement is written on the evaluation form. Be available to client for listening and talking. PLUS, we are going to give you examples of Nursing Care Plans for all the major body systems and some of the most common disease processes. Mnemonics are very helpful but where are you going to write them? The nurse writes an expected outcome statement in measurable terms. Determine effect of pain intensity on client function. After determining a nursing diagnosis of acute pain, the nurse develops the following appropriate client-centered goal: A. D. Urgency of problems. Ineffective tissue perfusion. It is the sudden impairment of cerebral circulation in one or more of the bloodvessels supplying the brain. The planning step of the nursing process includes which of the following activities? Quickly Customize. Since they are more prone to infections (), injuries, and changes in mental status, you have to be prepared and skilled when caring for them.If you are new to geriatric nursing, all these things can be intimidating and overwhelming.. Chronic disease 7. 17. We use cookies on our website to enhance your user experience and to analyze site usage so we can further improve our website and marketing. 7. Tell me about yourself. C. Must have a client who is physically and emotionally stable. Establish a therapeutic relationship. A. Assessing and diagnosing As for Option D, another nurse most likely will not be knowledgeable about wounds, and the primary nurse would know the history of the wound management plan. A client’s family attending a diabetic teaching session. Well formulated, client-centered goals should: A. While care plans are in place to help promote the highest quality of care … of Outcomes Objective Data:-Gangrene infected left foot-Open wound-Wet to dry dressing-Pain upon movement, grimacing, shaking 4. Answer: C. Elevate head of bed 30 degrees before meals. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, Nursing Process NCLEX Practice Quiz (25 Questions), 3,500+ NCLEX-RN Practice Questions for Free. It is best to be a nursing problem instead of a medical diagnosis but a medical diagnosis is okay. Want to super charge your studies? PLUS, we are going to give you examples of Nursing Care Plans for all the major body systems and some of the most common disease processes. A written guideline for implementation and evaluation. Answer: B. 20. The aeb is a sign and symptom of the Nanda and you will not know it until you get into the room and actually see the patient. 4. Priorities are established to help the nurse anticipate and sequence nursing interventions when a client has multiple problems or alterations. So make sure you save this page so you can refer back to it when you need it. See Also. D. The client determines the care needed. An example is saying that you want your patient to have clear breath sounds for an outcome and your intervention is to administer oxygen. Implement the specialist’s recommendations. For clients to participate in goal setting, they should be: Alert and have some degree of independence. The nursing needs of individuals or families subjectively vary. We encourage it so you have all of your critical elements together in one spot. The nurse is reviewing the critical paths of the clients on the nursing unit.

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