Which of these is not a part of the nursing process?
Provides a blueprint for delivering patient-centered care.
Involves care that is holistic and enhances patient outcomes.
Problem-solving approach used in the provision of care to complex clients.
Development of a medication prescription that will benefit the patient and their current illness.
The Correct Answer is D
Choice A reason: Providing a blueprint for patient-centered care describes the nursing process (assessment, diagnosis, planning, implementation, evaluation), guiding systematic care delivery. This is integral, unlike prescribing medications, a physician’s role. Assuming this is not part risks misunderstanding the process, critical for structured, effective nursing care in complex patient scenarios.
Choice B reason: Holistic care enhancing outcomes is central to the nursing process, addressing physical, emotional, and social needs through its steps. This contrasts with prescribing, which is medical. Assuming this is not part misaligns with the process’s purpose, risking fragmented care and reduced effectiveness in patient-centered nursing practice.
Choice C reason: A problem-solving approach for complex clients defines the nursing process, using data to address multifaceted needs systematically. Unlike prescribing, it’s a nursing responsibility. Assuming this is not part undermines the process’s role, risking ineffective care planning and interventions critical for managing complex patient conditions in clinical settings.
Choice D reason: Developing medication prescriptions is a physician’s role, not part of the nursing process, which focuses on assessment, diagnosis, planning, implementation, and evaluation. Nurses administer or educate about medications but don’t prescribe. This distinction ensures role clarity, preventing scope-of-practice errors and supporting collaborative, patient-centered care in healthcare settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Asking about the time assesses temporal orientation, a component of cognitive function, but is less comprehensive than date recall. Time awareness can vary due to environmental factors or confusion, making it less reliable for evaluating overall orientation in older adults, who may have memory deficits.
Choice B reason: Asking if the patient can stand up tests physical ability, not cognitive orientation. Orientation assessment focuses on awareness of time, place, and person, critical for detecting delirium or dementia. Physical tests are irrelevant to mental status evaluation, making this an inappropriate question.
Choice C reason: Asking for the date evaluates orientation to time, a key component of cognitive assessment in older adults. It tests memory and awareness, crucial for detecting cognitive impairments like dementia. This question is specific, measurable, and aligns with standard mental status examinations, making it the most appropriate.
Choice D reason: Asking about feelings assesses emotional state, not orientation. While relevant for overall health, it does not evaluate cognitive awareness of time, place, or person. Orientation questions target memory and perception, critical for neurological assessment, rendering this choice less relevant for the task.
Correct Answer is D
Explanation
Choice A reason: Kyphosis, an exaggerated thoracic curvature, is expected in osteoporosis due to vertebral compression fractures from weakened bones, common in elderly patients. Recognizing this guides interventions like bracing or bisphosphonates, critical for preventing further fractures, improving posture, and reducing pain, enhancing quality of life in osteoporosis patients.
Choice B reason: Scoliosis, lateral spinal curvature, is typically congenital or idiopathic, not caused by osteoporosis, which leads to kyphosis. Assuming scoliosis risks misdiagnosis, diverting focus from fracture-related kyphosis, delaying treatments like calcium supplementation, critical for managing osteoporosis and preventing spinal deformities in elderly patients.
Choice C reason: Lordosis, exaggerated lumbar curvature, is not typical in osteoporosis, which primarily causes thoracic kyphosis from vertebral fractures. Misidentifying lordosis risks overlooking kyphosis, delaying interventions like physical therapy, essential for managing spinal deformities and preventing further bone loss in elderly patients with osteoporosis.
Choice D reason: Ankylosis, spinal joint fusion, is associated with ankylosing spondylitis, not osteoporosis, which causes kyphosis. Assuming ankylosis misguides assessment, risking neglect of osteoporosis-related fractures, delaying bisphosphonates or bracing, critical for preventing deformity progression and maintaining mobility in elderly patients with weakened bones.
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