Author Question: The nurse is reviewing the nursing process with a first-year nursing student. What should the nurse ... (Read 119 times)

BRWH · **on:** Jul 23, 2018

The nurse is reviewing the nursing process with a first-year nursing student. What should the nurse explain as being the purpose of the diagnosis phase?

1. Develop a list of problems.
2. Identify client strengths.
3. Develop a plan.
4. Specify goals and outcomes.
5. Identify problems that can be prevented.

Question 2

The nurse suspects that a client with a history of injuries is a victim of abuse. What did the nurse use to come to this conclusion?

1. Observation of cues
2. Validation
3. Inference
4. Judgment

meltdown117 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1, 2, 5
Rationale 1: Diagnosing is analyzing and synthesizing data in order to identify client strengths and health problems that can be prevented or resolved by collaborative and independent nursing interventions as well as developing a list of nursing and collaborative problems.
Rationale 2: Diagnosing is analyzing and synthesizing data in order to identify client strengths and health problems that can be prevented or resolved by collaborative and independent nursing interventions as well as developing a list of nursing and collaborative problems.
Rationale 3: Developing a plan is part of the planning phase.
Rationale 4: Specifying goals and outcomes is part of the planning phase.
Rationale 5: Diagnosing is analyzing and synthesizing data in order to identify client strengths and health problems that can be prevented or resolved by collaborative and independent nursing interventions as well as developing a list of nursing and collaborative problems.

Answer to Question 2

Correct Answer: 3
Rationale 1: Cues are subjective or objective data that can be directly observed by the nurse.
Rationale 2: Validation is the act of double-checking or verifying data to confirm that they are accurate and factual.
Rationale 3: Inferences are the nurse's interpretations of conclusions made based on the cues, which in this case would be the frequent visits to the emergency department and the client's injuries. Data must be based on cues, and the nurse must be careful not to jump to conclusions.
Rationale 4: Judgment is not part of validation.