Identify the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis:

CNA

Technician

LPN/LVN

Answer and Explanation

The Correct Answer is C

A. CNA (Certified Nursing Assistant): CNAs assist with basic patient care (e.g., hygiene, vital signs) but do not perform assessments or make nursing diagnoses.

B. Technician: Technicians perform specific tasks (e.g., drawing blood, ECGs) but do not analyze patient data for diagnosis.

C. RN (Registered Nurse): The RN is responsible for analyzing and interpreting data, identifying nursing diagnoses, and developing the care plan.

D. LPN/LVN (Licensed Practical/Vocational Nurse): LPNs/LVNs can collect data but cannot make a nursing diagnosis, which is the RN’s role.

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Correct Answer is D

Explanation

A. Ethically can look at a friend's chart to see the diagnosis: Accessing a patient’s chart without a legitimate medical reason violates HIPAA and patient confidentiality laws.

B. Shares information from a chart to protect a friend: Confidentiality applies regardless of personal relationships. Unauthorized sharing of patient information is illegal and unethical.

C. Knows that only the Patient’s Bill of Rights advocates confidentiality: Multiple regulations, including HIPAA, protect patient confidentiality, not just the Patient’s Bill of Rights.

D. Reads charts only for professional reasons: Nurses can only access patient records when directly involved in care. Unnecessary access is a breach of confidentiality.

A. as difficult to maintain B. as a risk factor C. as a nursing responsibility D. as contributing to the patient's recovery

Correct Answer is B

Explanation

A. As difficult to maintain: This is a subjective statement and not a proper nursing diagnosis.

B. As a risk factor: Bed rest increases the risk of complications such as pressure ulcers, deep vein thrombosis (DVT), and muscle atrophy.

C. As a nursing responsibility: While nurses help manage bed rest, it is not classified as a responsibility but as an intervention.

D. As contributing to the patient's recovery: Although bed rest may be necessary, prolonged immobility can have negative effects, making this statement incomplete.

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Identify the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Understanding that health care personnel must respect the confidentiality of patients' records, the nurse:

Correct Answer is D

Explanation

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?

Correct Answer is B

Explanation

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

The patient with a nursing diagnosis of airway clearance, ineffective, might have a desired patient outcome of:

Compare an actual nursing diagnosis with a risk for nursing diagnosis, recognizing that in the case of the actual nursing diagnosis

Subjective data provided by the patient included complaints of intermittent chest pain upon exertion. When performing a complete physical examination, the nurse might use an organized approach such as:

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

Select the proper order of the phases of the Nursing Process:

A charge nurse is reviewing documentation with a group of newly hired nurses. Which of the following guidelines should be followed when documenting in a patient record? (select all that apply)

A focused assessment should be done by the nurse in all of the following situations EXCEPT: