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 C
Explanation
A. Assessment:
Explanation: Assessment is the first step in the nursing process. It involves gathering information about the patient's health status. This can include a patient's medical history, physical examination, and other vital signs. It's the phase where the nurse collects data to identify the patient's problems or needs.
B. Nursing Diagnosis:
Explanation: Nursing diagnosis is the second step in the nursing process, following assessment. During this step, the nurse analyzes the data collected during the assessment to identify nursing diagnoses or issues. Nursing diagnoses are clinical judgments about individual, family, or community responses to actual or potential health problems or life processes.
C. Evaluation:
Explanation: Evaluation is the last step in the nursing process. It involves assessing the patient's response to nursing interventions and determining if the goals and outcomes have been met. In the given scenario, the nurse is evaluating whether the pain medication administered 45 minutes ago has had the desired effect and has relieved the patient's pain.
D. Implementation:
Explanation: Implementation is the third step in the nursing process. During this phase, the nurse carries out the care plan that was designed during the planning phase. This can involve a variety of nursing actions, including administering medications, providing treatments, and educating patients. In the context of the scenario, giving pain medication is part of the implementation phase.
Correct Answer is B
Explanation
A. History taking: This refers to the process of gathering information about a patient's medical history, including their symptoms, past illnesses, medications, and family history. It involves asking questions and actively listening to the patient's responses.
B. Palpation of an area: Palpation involves using the hands to feel the body's surface, usually to assess the texture, size, consistency, and location of certain organs or structures. For example, a healthcare provider might palpate the abdomen to feel for any abnormalities or tenderness.
C. Communication: Communication is a broad term that encompasses various aspects of interacting with a patient, including asking questions, active listening, providing explanations, and expressing empathy. Effective communication is crucial for building trust, understanding the patient's concerns, and delivering appropriate care.
D. Weighing of a patient: Weighing a patient is a specific measurement and is not a technique used for a physical examination. However, a patient's weight can be an essential piece of information in understanding their overall health and can be considered during the assessment process.
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