The nurse educator is presenting information about the nursing ...

[erika]

The nurse educator is presenting information about the nursing process to a group of students. Which statement by a student reflects the appropriate sequence when implementing the nursing process?
 
  1. The correct order of the nursing process is diagnosis, assessment, planning, implementation, evaluation.
  2. The correct order of the nursing process is assessment, diagnosis, planning, implementation, evaluation.
  3. The correct order of the nursing process is planning, assessment, diagnosis, implementation, evaluation.
  4. The correct order of the nursing process is assessment, planning, diagnosis, implementation, evaluation.

Question 2

The nurse is admitting a client to a mental health unit for an exacerbation of bipolar disorder. When conducting the health history for this client, which is important to keep in mind regarding the client's confidentiality?
 
  1. Confidentiality means that information sharing is limited to those directly involved in the client care.
  2. Complete client confidentiality means that all members of the health care team may have access to the chart.
  3. The Health Insurance Portability and Accountability Act (HIPAA) helps to maintain client confidentiality and dictates who is to be communicating with the client.
  4. The medical records are open to any hospital employee, including administration.

[s.meritte]

Answer to Question 1

Correct Answer: 2

The nursing process is a systematic, rational, dynamic, and cyclic process used by the nurse for planning and providing care for the client. The assessment phase, step 1, involves the collection of data. Step 2 of the nursing process is diagnosis. The nurse uses critical thinking and applies knowledge from the sciences and other disciplines to analyze and synthesize the data. Similar data is clustered together and become the basis for the nursing diagnosis. Step 3 of the process is planning. During the planning phase the nurse sets the course for the care to be delivered. Implementation is the fourth step. During the implementation phase, step 4, the care is delivered. The final stage in the process, step 5, is evaluation. The professional nurse compares the present client status to achievement of the stated goals or outcomes. At this time the nurse will need to modify the nursing care plan.

Answer to Question 2

Correct Answer: 1

Confidentiality means that information sharing is limited to those directly involved in the client care. Not all members of the health care team have access to the chart, only those who are directly caring for the client. The Health Insurance Portability and Accountability Act (HIPAA) does not dictate who is allowed to communicate with the client. Hospital records are open only to those directly related to the care of the client.