Which task is included in the assessment step of the nursing process?.
Measuring goal/outcome achievement.
Collecting and communicating data.
Establishing patient goals/outcomes.
Implementing the nursing care plan (NCP).
The Correct Answer is B
Choice A rationale:
Measuring goal/outcome achievement is part of the evaluation step of the nursing process, not the assessment step.
Choice B rationale:
Collecting and communicating data is indeed part of the assessment step of the nursing process. This step involves gathering information about the patient’s health.
Choice C rationale:
Establishing patient goals/outcomes is part of the planning step, not the assessment step.
Choice D rationale:
Implementing the nursing care plan (NCP) is part of the implementation step, not the assessment step.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Medical diagnoses do not tend to vary depending on the patient’s rate of recovery. They are based on the disease or condition.
Choice B rationale:
Nursing diagnoses do refer to the patient’s ability to function in activities of daily living. They focus on the patient’s response to their health condition.
Choice C rationale:
Nursing diagnoses do not focus on alterations in the patient’s function and structures. This is more related to medical diagnoses.
Choice D rationale:
Nursing diagnoses do not result in diagnoses of disease that impairs normal physiologic function. This is the role of medical diagnoses.
Correct Answer is C
Explanation
Choice A rationale:
Giving the medication as ordered despite the patient’s stated allergy could lead to a severe allergic reaction.
Choice B rationale:
While checking the drug insert for information on reactions to the drug is important, the immediate action should be to withhold the medication.
Choice C rationale:
Withholding the medication and notifying the prescriber of the situation is the safest course of action when a patient states they are allergic to the medication.
Choice D rationale:
Giving the medication and monitoring the patient for adverse effects is not safe if the patient has stated they are allergic to the medication.
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