TEST BANK: NURSING PROCESS:CONCEPTS AND APPLICATIONS, 3RDEDITION, WANDA WALKER SEABACK

Chapter 1: Nursing Process: An Overview MULTIPLE CHOICE 1. The term process to describe nursing was first used in a. 1955 by Lydia Hall c. 1961 by Ida Orlando b. 1855 by Florence Nightingale d. 1967 by Yra and Walsh ANS: A PTS: 1 2. When was nursing diagnosis added as a separate and distinct step in the nursing process? a. 1959 c. 1974 b. 1963 d. 1985 ANS: C PTS: 1 3. Currently, the steps in the nursing process are a. assessment, planning, and evaluation b. assessment, planning, implementation, and evaluation c. assessment, analysis, planning, implementation, and evaluation d. assessment, diagnosis, outcome identification and planning, implementation, and evaluation ANS: D PTS: 1 4. The nurse is assessing a client. Which data are considered data from a primary source? a. The client's spouse tells the nurse that the client seems upset. b. The client reports right lower quadrant pain. c. The physician describes the client as being overanxious. d. The laboratory report shows an elevated white cell count. ANS: B PTS: 1 5. Which is subjective data? a. The client states, "My head hurts." b. The laboratory report shows an elevated white cell count. c. The client weighs 148 pounds. d. The nurse hears bilateral sounds. ANS: A PTS: 1 6. The nurse takes the client's vital signs. The data collected are a. subjective c. irrelevant b. objective d. secondary ANS: B PTS: 1 7. Which is objective data? a. The client states, "I have a headache." b. The client complains of a sore throat. c. The client's temperature is 100.4 degrees Fahrenheit. d. The client says he doesn't sleep well at night. ANS: C PTS: 1