Mosbys Textbook for Long Term Care

Nursing Assistants 6th Edition

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 Sorrentino: Mosby's Textbook for Long-Term Care Nursing Assistants,
6th Edition

Chapter 07: Assisting With the Nursing Process

Test Bank - RTF - Questions and Answers

MULTIPLE CHOICE

1. A written guide about the care a person should receive is the

A. Medical diagnosis C. Nursing diagnosis
B. Comprehensive care plan D. Nursing process
ANS: B PTS: 1 REF: p. 77

2. The method nurses use to plan and deliver nursing care is the nursing
A. Process C. Diagnosis
B. Care plan D. Intervention
ANS: A PTS: 1 REF: p. 75

3. Collecting information about a person is

A. Assessment C. Implementation
B. Gossip D. Evaluation
ANS: A PTS: 1 REF: p. 75

4. A measure is taken by the nursing team. It helps a person reach a goal. The measure is
A. A nursing diagnosis C. An implementation
B. A nursing intervention D. The nursing process
ANS: B PTS: 1 REF: p. 77

5. You use your senses to

A. Collect information about the person C. Report
B. Record D. See, feel, hear, or touch symptoms
ANS: A PTS: 1 REF: p. 75

6. The nursing process focuses on the

A. Person’s nursing needs C. Center’s policies
B. Doctor’s orders D. Medical record
ANS: A PTS: 1 REF: p. 75

7. Which is the first step of the nursing process?

A. Nursing diagnosis C. Assessment
B. Planning D. Evaluation
ANS: C PTS: 1 REF: p. 75

Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.
 Test Bank 7-2

8. If the nursing process is used correctly

A. Nursing care is organized and has purpose
B. The doctor’s orders are part of the care plan
C. The care plan does not change
D. Assessment information does not change
ANS: A PTS: 1 REF: p. 75

9. Nursing diagnoses and medical diagnoses are the same.

A. True B. False
ANS: B PTS: 1 REF: p. 77

10. Information that you can see, hear, feel, or smell is

A. The nursing diagnosis C. Objective data
B. Observation D. Subjective data
ANS: C PTS: 1 REF: p. 75

11. Which is a sign?

A. Dizziness C. Fever
B. Nausea D. Headache
ANS: C PTS: 1 REF: p. 75

12. Which is a sign?

A. Yellow urine C. Stiff joints
B. Chest pain D. Blurred vision
ANS: A PTS: 1 REF: p. 75

13. Which is a symptom?

A. Reddened area C. Itching
B. Bruise D. Eye drainage
ANS: C PTS: 1 REF: p. 75

14. Which is a symptom?

A. Noisy respirations C. Cough
B. Pulse rate of 78 D. Tingling
ANS: D PTS: 1 REF: p. 75

15. Symptoms are

A. Objective data C. Seen, felt, touched, or heard
B. Subjective data D. Observed
ANS: B PTS: 1 REF: p. 75

16. With every resident contact

Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.
 Test Bank 7-3

A. New information is collected C. Nursing diagnoses change

B. The care plan changes D. Implementation changes
ANS: A PTS: 1 REF: p. 75

17. Which is required by OBRA?

A. The Kardex C. Computer records
B. The Minimum Data Set (MDS) D. E-mail and electronic messages
ANS: B PTS: 1 REF: p. 75

18. The MDS is

A. Completed by the doctor
B. Used to make a medical diagnosis
C. Completed and signed by a nursing assistant
D. An assessment and screening tool
ANS: D PTS: 1 REF: p. 75

19. The planning step of the nursing process involves all of the following except
A. Making nursing diagnoses C. Setting goals
B. Setting priorities D. Identifying nursing interventions
ANS: A PTS: 1 REF: p. 77

20. A nursing intervention

A. Requires a doctor’s order
B. Is a nursing action or a nursing measure
C. Is the same as a nursing diagnosis
D. Is the same as the comprehensive care plan
ANS: B PTS: 1 REF: p. 77

21. The comprehensive care plan contains all of the following except
A. The doctor’s orders
B. The person’s problems
C. Goals for care
D. Actions to help the person solve problems
ANS: A PTS: 1 REF: p. 77

22. The comprehensive care plan

A. Tells what care not to give
B. May be part of the Kardex
C. Is used only by RNs
D. Identifies the person’s weaknesses, not the person’s strengths
ANS: B PTS: 1 REF: p. 77

23. When developing care plans, OBRA requires all of the following except
A. Nursing diagnoses

Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.
 Test Bank 7-4

B. The Minimum Data Set (MDS)

C. Triggers
D. Resident Assessment Protocols (RAPs)
ANS: A PTS: 1 REF: p. 77

24. Which is not a nursing diagnosis?

A. Anxiety C. Pain, acute
B. Constipation D. Heart attack
ANS: D PTS: 1 REF: p. 77

25. Care is given during the _____ step of the nursing process.
A. Assessment C. Implementation
B. Planning D. Evaluation
ANS: C PTS: 1 REF: p. 80

26. Goals are set during the planning step of the nursing process. Which is incorrect?
A. A goal is that which is desired by the health team as a result of nursing care.
B. Goals are aimed at the person’s highest level of well-being and function.
C. Goals promote health and prevent health problems.
D. Goals promote rehabilitation.
ANS: A PTS: 1 REF: p. 77

27. Which step in the nursing process involves measuring if the goals set in the planning step
were met?
A. Assessment C. Implementation
B. Planning D. Evaluation
ANS: D PTS: 1 REF: p. 81

28. Which statement about the nursing process is correct?

A. It changes as the person’s needs change.
B. It never changes.
C. It requires a doctor’s order.
D. You are responsible for it.
ANS: A PTS: 1 REF: p. 77

29. The nurse communicates delegated tasks to you by using

A. The nursing process
B. The Minimum Data Set (MDS)
C. Resident Assessment Protocols (RAPs)
D. An assignment sheet
ANS: D PTS: 1 REF: p. 80

30. The resident has the right to take part in his or her care planning.
A. True B. False

Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.
 Test Bank 7-5

ANS: A PTS: 1 REF: p. 81

31. Which statement is correct?

A. Nursing assistants do not have a role in the nursing process.
B. Nursing process steps can be done in any order.
C. The nursing process is the same as the care planning process.
D. The nursing process is on-going. It never ends.
ANS: D PTS: 1 REF: p. 75

Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.
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