Answer to Question 1
ANS: A, D, E
When a patient is initially interviewed and assessed, the nurse must complete a thorough analysis of the patient's physical, emotional, spiritual, and psychomotor status. The nurse often works with unlicensed assistive personnel (UAP) to collect relevant data on height and weight, intake and output, and vital signs. Nurses collaborate with other health care professionals to coordinate care. Interdisciplinary clinical rounds, which include physicians, registered nurses, physical therapists, occupational therapists, and dietitians, are often undertaken to identify priorities of care, discuss overlapping areas of treatment, and ensure coordination of care.
Answer to Question 2
ANS: B
During the planning step of the nursing process, the nurse prioritizes the nursing diagnoses and identifies short- and long-term goals that are realistic, measurable, and patient focused, with specific outcome identification for evaluation purposes. During the assessment step, patient care data are gathered through observation, interviews, and physical assessment. The implementation step includes initiating specific nursing interventions and treatments designed to help the patient achieve established goals or outcomes. In the evaluation step, the nurse determines whether the patient's goals are met, examines the effectiveness of interventions, and decides whether the plan of care should be discontinued, continued, or revised.
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