The nursing process is best defined as a framework for the organization of individualized nursing care.
A systematic approach to problem-solving in nursing.
A set of standardized protocols for patient care.
A legal document outlining the scope of nursing practice.
A communication tool used by the healthcare team.
The Correct Answer is A
Choice A rationale
The nursing process is a systematic, cyclical method used by nurses to identify and address patient health needs. It involves assessment, diagnosis, planning, implementation, and evaluation, providing a structured approach to problem-solving and the delivery of individualized care.
Choice B rationale
Standardized protocols offer guidelines for specific conditions but do not encompass the holistic and individualized nature of the entire nursing process. The nursing process allows for adaptation and critical thinking beyond pre-established routines to meet unique patient needs.
Choice C rationale
A legal document defining the scope of practice outlines what nurses are legally allowed to do. While the nursing process guides nursing actions, it is a framework for care delivery rather than a legal definition of professional boundaries.
Choice D rationale
While communication is integral to healthcare, the nursing process is more than just a communication tool. It is a comprehensive framework that guides all aspects of nursing care, from initial assessment to the evaluation of outcomes, involving critical thinking and clinical judgment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
"Seems lethargic" is subjective and lacks specific, measurable data. Lethargy can manifest differently in patients, and this statement doesn't provide objective evidence to support the observation. Accurate documentation requires specific descriptions of observed behavior.
Choice B rationale
"The patient was incontinent" is more direct but lacks crucial details such as the type of incontinence (urinary or fecal), the amount, and any associated factors. Comprehensive documentation would include these specifics for a clear understanding of the event.
Choice C rationale
"The patient ate 25% of a hearty meal" is relatively objective and quantifiable, providing a specific measure of the patient's intake. However, "hearty" is still somewhat subjective. Specifying the type and estimated size of the meal would enhance clarity.
Choice D rationale
"The patient voided in the urinal" is a clear, objective statement of an observable action. It specifies the method of voiding and provides a concrete piece of information about the patient's urinary function. This type of documentation is precise and unambiguous.
Correct Answer is A
Explanation
Choice A rationale
AC and HS is a common abbreviation in medical orders that stands for "ante cibum" (before meals) and "hora somni" (at bedtime). Therefore, "ambulate patient four times a day AC & HS" means the patient should ambulate before breakfast, before lunch, before dinner, and at bedtime.
Choice B rationale
NG is an abbreviation for nasogastric, which refers to a tube inserted through the nose into the stomach and is not related to ambulation orders.
Choice C rationale
DNR stands for "do not resuscitate," which is a medical order regarding end-of-life care and is not related to ambulation.
Choice D rationale
STAT is an abbreviation meaning "immediately" and is typically used for urgent medications or treatments, not for routine ambulation orders.
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