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1|Page RESPOND TO THE FOLLOWING NURSING DIAGNOSIS QUESTIONS. Multiple Choice Questions and Rationale behind Response 1. The nurse performs an assessment of a newly admitted patient. The nurse understands that this admission assessment is conducted primarily to: A. Diagnose if the patient is at risk for falls. B. Ensure that the patient’s skin is intact C. Establish a therapeutic relationship D. Identify important data 2. A nurse is revising a client’s care plan. During which step of the nursing process does such a revision take place? A. Assessment B. Planning C. Implementation D. Evaluation 3. The nurse in charge identifies a patient’s responses to actual or potential health problems during which step of the nursing process? A. Assessing B. Diagnosing C. Planning D. Evaluating 2|Page 4. The guidelines for writing an appropriate nursing diagnosis include all of the following except: A. State the diagnosis in terms of a problem, not a need B. Use nursing terminology to describe the patient’s response C. Use statements that assist in planning independent nursing interventions D. Use medical terminology to describe the probable cause of the patient’s response 5. Independent nursing interventions commonly used for patients with pressure ulcers include: A. changing the patient’s position regularly to minimize pressure B. Applying a drying agent such as an antacid to decrease moisture at the ulcer site C. Debriding the ulcer to remove necrotic tissue, which can impede healing D. Placing the patient in a whirlpool bath containing povidone-iodine solution as tolerated

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