EAQ #6 Nursing Process/sexuality

A nursing student is learning about the nursing process, which consists of four components. Which scenarios should the nursing student consider as examples of the feedback component? "The nurse notices that the client's pain has decreased after giving a back massage." "The caregiver says that the client's body temperature has decreased after administering the prescribed medication." "The registered nurse is instructing the Nursing Assistive Personnel to use a shower chair to give a bath to a client with activity intolerance." "The nursing supervisor asks the nursing student to keep the side rails of the bed up when caring for an older adult who has a history of falls." "The nurse finds that the client has developed breathing issues after the medication is administered through the central venous access device."

A,B,E

Which step in the research process is similar to the assessment step of the nursing process? - Analyzing the results - Conducting the study - Developing hypothesis - Identifying the problem

Identifying the problem

A nurse educator is presenting information about the nursing process to a class of nursing students. What definition of the nursing process should be included in the presentation? - Procedures used to implement client care - Sequence of steps used to meet the client's needs - Activities employed to identify a client's problem - Mechanisms applied to determine nursing goals for the client

Sequence of steps used to meet the client's needs

The nurse interviews a client about a current health problem. The nurse then obtains and documents the client's temperature, blood pressure, and heart rate. Which step of the nursing process is involved in this situation? - Planning - Diagnosis - Assessment - Implementation

assessment

An injured client with an open wound is brought to the hospital. The doctor asks the nurse to administer a tetanus toxoid injection. Which step of the nursing process does the nurse follow next? - Diagnosis - Evaluation - Assessment - Implementation

implementation

A nurse is teaching a male client about measures to maintain sexual health and prevent transmission of sexually transmitted infections (STI). Which statement of the client indicates effective learning? - "I will use condoms when having sex with an infected partner." - "I will perform a genital self-examination every month before bathing." - "I will refrain from getting the human papilloma virus vaccine (HPV) before the age of 27 years." - "I will consult with my primary healthcare provider when there is a rash or ulcer on my genitalia."

"I will consult with my primary healthcare provider when there is a rash or ulcer on my genitalia."

Which features distinguish nursing diagnoses from medical diagnoses? - Nursing diagnoses involve the client when possible. - Nursing diagnoses are based on results of diagnostic tests and procedures. - Nursing diagnoses are the identification of a disease condition in the client. - Nursing diagnoses involve the sorting of health problems within the nursing domain. - Nursing diagnoses involve clinical judgment about the client's response to health problems.

A,D,E

Which nursing action is a part of the evaluation phase of the critical thinking process? - Collecting all the data in order - Looking at all the situations objectively - Support the findings and drawing conclusions - Be open-minded to information about a client - Using several criteria to determine the effectiveness of a nursing intervention

B,E

The nurse is performing an assessment of the client's reproductive system. Which finding of the past medical history indicates the client is at risk of cervical cancer? - Vaginal discharge - Ovarian dysfunction - Human papilloma virus infection - Hematuria and urinary incontinence

Human papilloma virus infection

The nurse is performing nursing care therapies and including the client as an active participant in the care. Which basic step is involved in this situation? - Planning - Evaluation - Assessment - Implementation

Implementation