Data collection occurs where in the nursing process?

Planning

Diagnosis

Evaluation

Assessment

Answer and Explanation

The Correct Answer is D

A. Planning: Planning involves setting goals and interventions based on data collected, but data collection itself is not part of this phase.

B. Diagnosis: Diagnosis involves analyzing collected data to identify health issues, but data collection is a separate process that occurs before this phase.

C. Evaluation: Evaluation assesses the effectiveness of interventions and progress towards goals, but data collection is performed earlier in the process.

D. Assessment: Data collection is a fundamental part of the assessment phase in the nursing process, where information is gathered to identify patient needs and conditions.

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Correct Answer is ["B","C","D"]

Explanation

A. "Are you able to feed yourself?": This question relates to basic activities of daily living (ADLs), not instrumental activities of daily living (IADLs).

B. "Do you do your own laundry?": This question assesses the ability to perform IADLs, which include tasks like laundry, managing household chores, and other tasks beyond basic self-care.

C. "Do you shop for groceries?": This question evaluates the client’s ability to perform IADLs, such as shopping for groceries.

D. "Do you manage your own money?": This question is also relevant for assessing IADLs, which include financial management.

A. II B. III C. I D. X

Correct Answer is C

Explanation

A. II: A grade II murmur is generally faint but still audible with the stethoscope in place.

B. III: A grade III murmur is moderately loud and can be heard with the stethoscope without applying extra pressure.

C. I: A grade I murmur is very faint and might be heard only with careful listening and with the stethoscope placed carefully.

D. X: There is no grade X murmur in the standard grading scale for heart murmurs.

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Data collection occurs where in the nursing process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on the client's chest. The nurse interprets this as which grade?

Correct Answer is C

Explanation

A client asks the nurse about the function that the lymph system plays in the body. Which of the following would be most appropriate for the nurse to include when responding to the client?

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The nurse is assessing the seven attributes of a client's symptom using the mnemonic OLD CART. In which section of the comprehensive health history will the nurse document this information?

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The nurse is assessing a client's cardiovascular status within the comprehensive health history. What should the nurse include in this section of the assessment? (Select all that apply.)

The nurse is performing the technique shown. What is the nurse assessing?

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