Prior to administration of an antihypertensive medication, the nurse notes the client's heart rate is 50. The nurse then determines the blood pressure medication should be held. Which part of the nursing process is being fulfilled?

Assessment

Analysis

Planning

Evaluation

Answer and Explanation

The Correct Answer is A

A. Assessment: Assessment involves collecting data about the client's condition. Noting the heart rate before administering medication is part of the assessment.
B. Analysis: Analysis involves interpreting the collected data to make decisions about the client's care. While the nurse is analyzing the data (the heart rate), this step follows the initial assessment.
C. Planning: Planning involves setting goals and deciding on interventions based on the assessment and analysis. Holding the medication could be considered part of planning but comes after assessing the heart rate.
D. Evaluation: Evaluation involves determining the effectiveness of interventions. This is not applicable in this situation.

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Correct Answer is D

Explanation

A. Coercive power over other team members improves client outcomes: Coercive power is not conducive to a collaborative environment and can negatively impact team dynamics and patient care.
B. Lack of training facilitates participation with other team members: Lack of training hinders effective collaboration and can lead to misunderstandings and errors in patient care.
C. Confrontation encourages interaction with other team members: Confrontation can create conflict and is not a constructive approach to collaboration.
D. Communication with other team members improves client outcomes: Effective communication is crucial for successful interprofessional collaboration, leading to improved patient outcomes.

A. The nurse explains the benefits of smoking cessation B. The client starts to use nicotine gum as part of their plan to stop smoking C. The client uses a nicotine patch to assist in smoking cessation D. Encourage the client to share their feelings about smoking cessation

Correct Answer is D

Explanation

A. The nurse explains the benefits of smoking cessation: This approach uses the cognitive domain, focusing on knowledge and understanding.
B. The client starts to use nicotine gum as part of their plan to stop smoking: This action uses the psychomotor domain, involving physical tasks and skills.
C. The client uses a nicotine patch to assist in smoking cessation: This action also involves the psychomotor domain.
D. Encourage the client to share their feelings about smoking cessation: The affective domain involves emotions, attitudes, and feelings. Encouraging the client to share their feelings directly engages this domain.

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Prior to administration of an antihypertensive medication, the nurse notes the client's heart rate is 50. The nurse then determines the blood pressure medication should be held. Which part of the nursing process is being fulfilled?

Nursing Test Bank

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