A review of a patient nursing care plan before beginning care allows the nurse to
begin nursing interventions without needing an initial assessment
use critical thinking skills to organize care for the patient
make revisions in the plan as indicated by the shift report.
skip the shift report and begin with the initial assessment
The Correct Answer is B
A. Begin nursing interventions without needing an initial assessment: This option is not appropriate. A thorough assessment is crucial before any interventions are initiated. The nurse needs to understand the patient's current condition, medical history, and specific needs to provide safe and effective care.
B. Use critical thinking skills to organize care for the patient: Correct. Reviewing the nursing care plan allows the nurse to critically think about the patient's needs, plan interventions accordingly, and organize care effectively. It helps in understanding the patient's unique requirements and tailoring the care plan to meet those needs.
C. Make revisions in the plan as indicated by the shift report: This option implies that the nurse can modify the care plan based on the shift report. While shift reports are essential for continuity of care, the initial review of the care plan is more about understanding the existing plan and adapting it based on the patient's condition, not just the shift report.
D. Skip the shift report and begin with the initial assessment: This option is not appropriate. Both the shift report and the initial assessment are crucial components of patient care. The shift report provides important information from the previous nursing staff, and the initial assessment is the first step in understanding the patient's current state.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Level of English Literacy:
Understanding the patient's level of English literacy is crucial for effective communication. It helps healthcare providers tailor their communication to ensure the patient comprehends their condition, treatment, and instructions.
B. Dietary Concerns:
Cultural dietary practices and restrictions can significantly impact a patient's nutrition and recovery. Knowing about dietary concerns allows healthcare providers to plan meals that respect the patient's cultural preferences and restrictions.
C. Beliefs About Causality of Illness:
Different cultures have unique beliefs about the causes of illnesses, which can influence their perceptions of healthcare and treatment. Understanding these beliefs helps healthcare providers provide culturally sensitive care and explain medical conditions and treatments in a way that aligns with the patient's beliefs.
D. Number of Children in the Immediate Household:
While this information might be relevant for social context, it's not directly related to cultural factors. However, it could be useful in some cases, such as understanding family dynamics or support systems.
E. Primary Language Spoken:
Knowing the patient's primary language is essential for effective communication. It ensures that healthcare providers can provide accurate information, understand the patient's concerns, and involve interpreters if necessary to bridge language barriers.
Correct Answer is B
Explanation
A. Evaluation:
Evaluation involves the assessment of a patient's response to nursing interventions and the effectiveness of the care plan. In this scenario, the nurse is not evaluating the patient's response to previous interventions but is rather in the process of conducting a new assessment.
B. Assessment:
This statement is correct. The nurse is in the assessment phase of the nursing process. She is collecting data by checking the patient's record, performing a physical examination (digital rectal exam), and noting the patient's complaint and signs of constipation (no bowel movement for three days, hard stool). Assessment is the first step of the nursing process and involves data collection to identify health problems and needs.
C. Nursing Diagnosis:
Nursing diagnosis involves analyzing the data collected during the assessment to identify actual or potential health problems. The nurse has not reached the stage of formulating a nursing diagnosis in this scenario; she is still gathering data.
D. Implementation:
Implementation is the phase of the nursing process where nursing interventions are carried out based on the nursing care plan. The nurse is not implementing interventions yet but is still in the process of data collection.
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