Clarify the primary purpose of nursing orders:

to clarify nursing principles

to resolve the patient's problems

to support physician's orders

to provide broad, general statements

Answer and Explanation

The Correct Answer is B

A. To clarify nursing principles: Nursing orders are action-oriented and not just meant to clarify theoretical principles.

B. To resolve the patient’s problems: Nursing orders focus on patient care interventions that directly address identified problems in the nursing diagnosis.

C. To support physician’s orders: Nursing orders complement medical care but are independent nursing actions, not just support for physician directives.

D. To provide broad, general statements: Nursing orders should be specific, measurable, and actionable, not broad statements.

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Correct Answer is B

Explanation

A. Validated data: While accurate data is crucial, validated data alone does not form a nursing diagnosis.

B. Data clustering: Data clustering involves grouping related signs, symptoms, and risk factors to determine patterns that lead to a nursing diagnosis.

C. Subjective data: Subjective data (e.g., pain, nausea) is part of assessment but must be combined with objective data to establish a diagnosis.

D. Objective data: Objective data (e.g., lab results, physical exam findings) is important, but a nursing diagnosis requires a comprehensive approach, including data clustering.

A. The LPN should document the care that he/she provided and the care that was given by unlicensed assistive staff. B. The registered nurse must document all care provided by the nursing assistants because the RN is responsible for all patient care. C. All staff members should document all of the care that they have provided. D. All staff should document all care they provided but the RN (as the only independent practitioner) must sign their notes.

Correct Answer is C

Explanation

A. The LPN should document the care that he/she provided and the care that was given by unlicensed assistive staff.: While the LPN is responsible for documenting their own care, they are not responsible for documenting care provided by unlicensed assistive personnel (UAP). Each staff member is responsible for documenting their own care.

B. The registered nurse must document all care provided by the nursing assistants because the RN is responsible for all patient care.: While RNs oversee patient care, UAPs and LPNs must document the care they perform themselves.

C. All staff members should document all of the care that they have provided.: Every healthcare provider is responsible for documenting their own interventions to maintain accurate and legal records.

D. All staff should document all care they provided, but the RN (as the only independent practitioner) must sign their notes.: While RNs may sign their own documentation, they do not need to sign documentation made by LPNs or UAPs unless verification is required.

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Clarify the primary purpose of nursing orders:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

Who should document care in the patient record?

Correct Answer is C

Explanation

Show that documentation of patient care by the nurse is very important by selecting from the following: (select all that apply)

When using the SOAP method of charting, S stands for subjective data which means:

What is the major concern when using a computer for documentation?

Your patient is admitted with a serious injury of the left hip after a fall at home. She is crying with severe pain in her left hip and leg. Which nursing diagnosis would apply to this patient's immediate needs?

Which of the following statements is correct about abbreviations?

Which part of the medical record can be used as evidence in court?

The nurse is documenting patient data. Which of the following should the nurse document under objective data? (select all that apply)

Clarify the primary purpose of nursing orders: