Which steps are included in the nursing process Select all that apply

Which activity is the clearest example of the evaluation step in the nursing process?A. recognizing that the client's blood pressure of 172/101 is an abnormal finding B. checking the client's blood pressure 30 minutes after administering captopril. C. taking a client's blood pressure on both arms at the beginning of a shift

D. giving the client a p.r.n. (as needed) dose of captopril (an antihypertensive) in light of this blood pressure reading

B. checking the client's blood pressure 30 minutes after administering captopril.

Rationale: Measuring the client's blood pressure after performing an intervention such as drug administration determines the extent to which the client has achieved the outcome desired, which in this case is lowered blood pressure. Initially checking the client's blood pressure is an example of assessment, while recognizing it as an anomaly constitutes diagnosis. Administering the drug is a form of implementation.

A hospital client has an aggressive fungal infection in his right eye that necessitates evisceration (removal of the eye). Consequently, the client requires twice-daily packing and dressing changes to the orbit. Which of the nurse's actions in the care of this client most clearly demonstrates interpersonal skills?A. understanding the anatomy and physiology of the affected parts of the client's body B. ensuring the client's privacy during dressing changes and providing an explanation during the procedure C. documenting the condition of the client's orbit and the procedure of the dressing change in an accurate and timely manner

D. maintaining aseptic technique when performing the dressing change

B. ensuring the client's privacy during dressing changes and providing an explanation during the procedure

Rationale: A central aspect of interpersonal skills is maintaining privacy and dignity, as well as keeping clients informed during their care. Documentation is an outcome of legal/ethical skills while knowledge of anatomy and physiology demonstrates cognitive skill. The maintenance of asepsis involves technical skill.

Which statement best conveys the role of intuition in nurses' problem solving?A. Intuition is reliable when those nurses implementing it have a special "gift." B. Intuition can be a clinically useful adjunct to logical problem solving. C. In experienced nurses, intuition can be a valid replacement for scientific problem solving.

D. Intuition is an unreliable mode of thinking that should be avoided.

B. Intuition can be a clinically useful adjunct to logical problem solving.

Rationale: Creative, intuitive thinking can be useful supplements to more "in-the-box" methods of problem solving. While it should not be discouraged outright, it should also not be thought of as a replacement for logical or scientific problem solving. Intuition is not dependent on a special "gift" but is thought to be a product of experience and unconscious pattern recognition.

When the nurse assesses the client's blood sugar, what is the term for the type of skill the nurse is using?A. Interactional B. Technical C. Therapeutic

D. Adaptive

B. Technical

Rationale: Technical skills are used to carry out treatments and procedures.

What is meant by intellectual and affective activities in which individuals engage to explore their experiences in order to lead to new meanings and appreciations?A. Reminiscing B. Evangelization C. Memorization

D. Reflection

D. Reflection

Rationale: Reflection is defined as those intellectual and affective activities in which individuals engage to explore their experiences in order to lead to new understandings and appreciations.

A modern approach to the development of clinical decisions and clinical judgments is the use of human client simulators in simulation laboratories on campus. Human client simulators are best described as:A. small, doll-like devices used for measuring vital signs. B. health care equipment that has practice modes. C. life-saving equipment that resuscitates clients in cardiac arrest.

D. life-sized mannequins with a sophisticated computer interface.

D. life-sized mannequins with a sophisticated computer interface.

Rationale: The human client simulator, a life-sized mannequin with a sophisticated computer interface, presents students with clinical scenarios that evolve based on decisions that students make.

Select the best description of how the nurse applies the nursing process in caring for clients. The nurse:A. uses critical thinking to direct care for the individual client. B. employs communication to meet the client’s needs. C. applies intuition and routine care for clients. D. uses scientific problem solving to meet client problems.

A. uses critical thinking to direct care for the individual client.

Rationale: The nursing process requires blended skills and critical thinking. Critical thinkers think systematically about the nursing process and apply it for the individual client. Communication is important but not sufficient to meet client needs, and scientific problem solving is used in the laboratory setting, not nursing.

Which stage of the nursing process enables the nurse to compare the actual outcomes with the expected outcomes?A. Assessment B. Implementation C. Evaluation

D. Planning

C. Evaluation

Rationale: Evaluation is assessment and review of the quality and suitability of the care given, and the client’s responses to that care. Assessment is careful observation and evaluation of a client’s health status. Planning involves setting priorities, defining expected and desired outcomes (goals), determining specific nursing interventions, and recording the plan of care. Implementation means carrying out the written plan of care, performing interventions, monitoring the client’s status, and assessing and reassessing the client before, during, and after treatments.

The nurse is assessing a 1-year-old baby. The mother states, "I'm not sure if he has a fever. I have such a hard time with my glass thermometer. It's so hard to read." The nurse's best response would be:A. "Why would you use that for your baby?" B. "Yes, they are hard to read, but with practice, it gets easier." C. "Bring it with you next time and I will teach you the proper way to use your thermometer."

D. "There is some danger in using a glass thermometer and the mercury it contains. You might consider buying a new type of device."

D. "There is some danger in using a glass thermometer and the mercury it contains. You might consider buying a new type of device."

Rationale: Once common, glass mercury thermometers are no longer being used due to the dangers of exposure to mercury.

The nurse is administering blood to a patient and notes a transfusion reaction. Which of the following will the nurse include to manage the reaction? Select all that apply.A. Continue the blood as ordered and manage the reaction as soon as the blood is fully delivered. B. Discontinue the IV and restart in another site. C. Continue the IV for access if necessary. D. Discontinue the IV and do not restart one in another site.

E. Stop the blood infusion.

C. Continue the IV for access if necessary. E. Stop the blood infusion.(A transfusion should be stopped immediately whenever a transfusion reaction is suspected and the IV site kept open for venous access if needed.)

Rationale: A transfusion should be stopped immediately whenever a transfusion reaction is suspected and the IV site kept open for venous access if needed.

Which is the most appropriate example of the assessment phase of the nursing process?A. Palpating a mass in the right lower quadrant of the abdomen B. Evaluating the temperature of a client given medication for a fever C. Including a nursing diagnosis of Acute Pain in the client’s plan of care

D. Documenting the administration of a medication provided for pain

A. Palpating a mass in the right lower quadrant of the abdomen

Rationale: Palpation of a mass in the abdominal cavity is an example of assessment in the nursing process through collecting data that determine the need for nursing care. Documentation of medication administration is an intervention. Evaluating the temperature of a client given a medication for a fever, is a better example of evaluation through assessment. Including a nursing diagnosis in the plan of care is part of determining actual and potential health problems.

The plan of care for a client with diabetes mellitus includes assessment of lab values daily but the lab values are outside of the recommended range. The nurse collaborates with the health care provider and the client to change medications included in the plan of care. What characteristic of the nursing process does this illustrate?A. Interpersonal B. Outcome oriented C. Dynamic

D. Systematic

D. Systematic

Rationale: This is an example of how the nursing process is systematic. Each part of the nursing process is dependent on a sequence of activities, each step is dependent on the one that precedes it and influences the outcome. In this example, the nurse requires assessment of the client’s lab values to determine a weakness in the plan of care that must be addressed through collaboration with the client and the health care provider to determine a new plan of action/outcome so that interventions can be implemented and reevaluated.

The nurse is caring for an obese client that needs to be turned every 2 hours. Which nursing action is an example of reflection for action?A. During the first attempt to turn the client, the nurse realizes the need for assistance and calls the front desk for help. After the shift is over, the nurse wonders if all health care providers are using the appropriate resources when turning this client. The next day, the nurse institutes, as part of the client's plan of care, assistance with turning so that the client gets optimal care without injury to the caregivers. B. During the first attempt to turn the client, the nurse realizes the need for assistance and calls the front desk for help. The nurse makes the decision that the client can be turned every 4 hours instead because everyone is too busy to help every 2 hours. C. During the first attempt to turn the client, the nurse realizes the need for assistance and calls the front desk for help. D. During the first attempt to turn the client, the nurse realizes the need for assistance and calls the front desk for help. Everyone is too busy to help the nurse so the nurse finds a way to turn the client alone. After the shift is over, the nurse is very tired and has a backache. The nurse realizes that the nurse probably should have insisted someone help turning the client or use some of the equipment from another floor to aide in turning obese clients.

SUBMIT ANSWER

A. During the first attempt to turn the client, the nurse realizes the need for assistance and calls the front desk for help. After the shift is over, the nurse wonders if all health care providers are using the appropriate resources when turning this client. The next day, the nurse institutes, as part of the client's plan of care, assistance with turning so that the client gets optimal care without injury to the caregivers.

Rationale: There are three types of reflection as defined by Schon: Reflection-in-action, Reflection-on-action, and Reflection-for-action. Reflection-for-action is the desired outcome of the first two types and helps the person to think about how future actions might change as a result of the reflection. When the nurse realizes the need for help turning, this is Reflection-in-action, when reflecting if everyone is using appropriate resources, this is Reflection-on-action, and when adapting the client’s plan of care based on the reflections, this is Reflection-for-action. Turning an obese client without assistance is unsafe and resources should be used. The client's outcomes should not be jeopardized by altering the plan of care due to the time constraints of staffing.

The nurse is caring for a client that presents with polydipsia, polyphagia, and polyuria. The clients labs reveal in increased Hb A1C, which could indicate increased blood glucose levels. What is the next step for the nurse to take based on the nursing process?A. Identify outcomes for the client with his or her input. B. Follow-up with the client to see if the lab work improves. C. Administer a prescribed medication to decrease the client’s blood sugar.

D. Analyze data and create an individualized nursing diagnosis.

D. Analyze data and create an individualized nursing diagnosis.

Rationale: The second part of the nursing process is the analysis of data that can help determine nursing diagnosis. Because the nurse has the assessment of polydipsia, polyphagia, polyuria, and an increased Hgb A1C, these findings can be analyzed to help to determine the most appropriate nursing diagnosis. Once the nursing diagnosis is determined, then outcomes can be identified and interventions such as medication administration can be implemented and then evaluated.

The nurse is caring for a client who states that he hears voices in his head that tells him to do bad things. When the nurse enters the client’s room, he is talking out loud to someone but there is nobody in the room. How should the nurse record this assessment?A. Document this assessment based on the client’s behaviors. B. Do not document this assessment because he could be using his Bluetooth to talk to his family. C. Document that the client is talking back to the voices in his head.

D. Do not document this assessment because it is subjective.

A. Document this assessment based on the client’s behaviors.

Rationale: Assessment is the collection of data that enables the nurse to make judgments about the level of care the client needs. Assessment should be documented accurately, completely, concisely, factually, and timely. For the nurse to document a factual assessment, the client’s behaviors should be documented and not the nurse’s interpretation of the behaviors.

The nurse is developing a plan of care for a client with a fractured femur, is in traction, and will be restricted to bed for some time. Which domain should the nurse look to for developing a nursing diagnosis based on this client's musculoskeletal health problems?A. Nutrition B. Health Promotion C. Activity/Rest

D. Self-perception

C. Activity/Rest

Rationale: Nursing diagnosis should be based on the collection of data from that client that contains a precise statement related to the client’s health problems. This question is specifically related to this client’s inability to move and musculoskeletal issues; therefore, the domain that would provide the most options for nursing diagnosis would be that of activity and rest.

An obese client is in the clinic to be started on a weight loss plan. The client loves to eat. The client's favorite food is hamburgers. The client does not like to exercise. The nurse creates a nursing diagnosis of ineffective health maintenance to include in the plan of care. What is the most appropriate outcome for this nursing diagnosis for this client? The client will:A. exercise every day for at least 30 minutes. B. create an exercise plan that is realistic and valued. C. only eat three meals per day.

D. stop eating meat and walk every day after dinner.

B. create an exercise plan that is realistic and valued.

Rationale: Outcomes should realistic and valued by the client and family. If this client creates an exercise plan that she values and is realistic, then she is more than likely to meet their outcome. Exercising every day, only eating three meals per day, or excluding meat from the diet may not be realistic or valued by the client that has reported that she likes to eat and does not like to exercise.

A nurse administers intravenous fluids to a client diagnosed with dehydration. After the fluids are completed, the client's blood pressure is increased and pulse is decreased. During the final phase of the nursing process, what should the nurse do? A. Formulate a plan of care based on risk for dehydration. B. Check the client’s skin turgor. C. Administer an additional liter of intravenous fluids.

D. Determine whether the prescribed treatment was effective.

D. Determine whether the prescribed treatment was effective.

Rationale: The sequence of the nursing process is assessment, diagnosis, planning, implementation, and evaluation. Checking skin turgor is an assessment. Formulating a care plan is part of planning. Administration of additional fluid occurs during implementation. The nurse evaluates whether the intervention was effective as demonstrated by a rise in blood pressure and a decline in pulse rate.

A nurse is reading a journal article about providing individualized care. Which aspect would the nurse most likely read about as the almost universally accepted method for providing nursing care?A. Nursing Process B. Experience C. Reflection

D. Clinical reasoning

A. Nursing Process

Rationale: Although clinical reasoning, reflection, and experience are important components of nursing, the nursing process is recognized as the method of practicing nursing. It is the model on which professional nursing standards are based. Although it sometimes is criticized for not being adaptable to the changing health care environment, the nursing process remains the almost universally accepted method for providing nursing care.

A nurse providing care to a client questions judgments and considers other ways of thinking about the client's situation. What behaviors is the nurse demonstrating in the care of the client?A. reflective skepticism. B. thoughtful practice C. reflection-in-action.

D. critical reflectivity.

D. critical reflectivity.

Rationale: Critical reflectivity (becoming aware of one's awareness and critiquing it) occurs when a person questions judgments and considers other ways of thinking about the situation. Thoughtful practice is caregiving in order to promote the humanity, dignity, and well-being of the patient. Reflection-in-action requires the person to engage in exploring experiences in order to lead to new understandings and appreciations during the situation or during clinical practice. Reflective skepticism involves adopting an attitude of doubt about supposed truths.

occurs when a person questions judgments and considers other ways of thinking about the situation

caregiving in order to promote the humanity, dignity, and well-being of the patient

requires the person to engage in exploring experiences in order to lead to new understandings and appreciations during the situation or during clinical practice

involves adopting an attitude of doubt about supposed truths.

Which statement is true of the nursing process?A. It is a valid alternative to using intuition to respond to nursing situations. B. It is more appropriate in medical–surgical settings than community health care. C. Trial-and-error problem solving is incongruent with the nursing process.

D. Scientific problem solving can occur within the nursing process.

D. Scientific problem solving can occur within the nursing process.

Rationale: Problem solving and the nursing process are not competing or mutually exclusive processes. Rather, both scientific problem solving and trial-and-error may take place within the nursing process. One of the strengths of the nursing process is that it is applicable to all nursing contexts.

Educating a client on the pathophysiology of diabetes mellitus is the implementation of which skill?A. Intellectual B. Visual C. Interpersonal

D. Technical

A. Intellectual

Rationale: Teaching requires knowledge about teaching–learning principles to convey. The intellectual skills used in implementation include problem solving, decision making, and teaching.

A client who has limited finances and limited capacity for education requires home health care for a chronic illness. For the nurse to provide a high level of care to this client, she must first:A. develop a relationship with the client. B. engage the services of a social worker. C. implement critical-thinking skills.

D. determine what care has been provided.

C. implement critical-thinking skills.

Rationale: Critical thinking requires nurses to choose solutions or identify options for client care situations.

Which students study the best in a group setting?A. Kinesthetic learners B. Sensory learners C. Auditory learners

D. People-oriented learners

D. People-oriented learners

Rationale: People-oriented learners are social; they prefer to study in groups rather than alone, and they enjoy the process more than focusing on the task at hand.

A nurse is caring for a client with diabetes mellitus. The client takes insulin 2 times per day. The nurse makes sure the client's meals arrive in coordination with the insulin's effect. The knowledge used by the nurse is:A. creative. B. lacking. C. integrated.

D. evaluative.

C. integrated.

Rationale: This scenario indicates the integration of a nurse's knowledge in the provision of safe client care.

The nurse employs interpersonal skills of communication when caring for and interacting with clients. Which is the best example of establishing a therapeutic nurse–client relationship?A. Show respect for the client, and engage in open communication in getting to know the client. B. Approach the client as part of the job, and complete nursing care quickly to promote comfort. C. Recognize how the approach affects client care, and describe why you have to do things your way.

D. Introduce yourself, and then accomplish nursing care activities efficiently to allow the client to rest.

A. Show respect for the client, and engage in open communication in getting to know the client.

Rationale: Respect for the client's dignity, and establishing a caring relationship, is furthered by mutual exchange of communication. Approaching care/client as a job, doing things without client input, and doing things your way and efficiently are not necessarily therapeutic, nor do they initiate communication.

Which statement regarding critical thinking in nursing is true? A. It shows trends and patterns in client status. B. It is a systemic way of thinking. C. It supplies validation for reimbursement.

D. It makes judgment based on conjecture.

B. It is a systemic way of thinking.

Rationale: Critical thinking makes judgment based on evidence rather than conjecture. Providing a foundation for evaluation and quality improvement, as well as showing trends and patterns in client status, are functions served by documentation.

The nurse is performing an assessment on a client who presents with a rash on the back that is red and raised. What would be the most appropriate nursing action?A. Assess the client’s back visually. B. Establish a nursing diagnosis of Altered Skin Integrity. C. Report it to the health care provider.

D. Document it in the client’s chart.

A. Assess the client’s back visually.

Rationale: Assessment is the collection of data that enables the nurse to make judgments about the level of care the client needs. Assessment should be documented accurately, completely, concisely, factually, and timely. For the nurse to document an accurate and concise assessment, a visual assessment of the rash is necessary. This assessment should be performed before it is reported or documented and before a nursing diagnosis can be formulated.

A nurse has developed a plan of care for an adult client. What nursing function is important when using a nursing diagnosis to guide the care of this client?A. Do not allow the client to review his or her nursing diagnoses. B. Prioritize the nursing diagnoses. C. Keep resolved nursing diagnoses as part of the plan of care in case the problem returns. D. Add a new nursing diagnosis in the nurse’s own words to individualize the plan of care.

SUBMIT ANSWER

B. Prioritize the nursing diagnoses.

Rationale: After performing a nursing assessment, data should be analyzed and compiled into actual and potential health problems and documented as nursing diagnosis. It is the nurse's responsibility to prioritize the nursing diagnosis, thereby prioritizing the care of the client. Resolved nursing diagnoses should be deleted from the plan of care as soon as they are resolved and replaced with new ones when appropriate. Nursing diagnosis should be written in a nonjudgmental way and in legally advisable terms. The plan of care is individualized for each client and therefore client should be aware of what is included.

The nurse is caring for a client with a nursing diagnosis of deficient fluid volume. The nurse has implemented the plan of care and upon evaluation finds that the client continues to exhibit symptoms of deficient fluid volume. What should the nurse do next?A. Add additional nursing diagnosis to meet the client’s health needs. B. Change the nursing diagnosis because the client’s problem was falsely identified. C. Modify the plan of care and interventions to meet the client’s needs.

D. Reassess the client for more symptoms of deficient fluid volume.

C. Modify the plan of care and interventions to meet the client’s needs.

Rationale: The implementation phase is the phase of the nursing process in which the plan of care is carried out. It is designed to promote wellness and restore health to clients through interventions that are collaborative and nursing driven. The plan of care and implementation should be reviewed periodically and based on evaluation it should be modified to meet the clients needs. Because this client continues to exhibit symptoms identified by the nursing diagnosis, then the implementation should be modified to better meet the clients needs and outcomes.

Which intervention is the most appropriate for a client newly diagnosed with diabetes and a nursing diagnosis of deficient knowledge?A. Administer insulin as prescribed B. Monitor for hypo-/hyperglycemia C. Monitor blood sugar before meals

D. Teach the client how to administer insulin

D. Teach the client how to administer insulin

Rationale: The implementation phase is the phase of the nursing process in which the plan of care is carried out. It is designed to promote wellness and restore health to clients through interventions that are collaborative and nursing driven. The plan of care and implementation should be individualized and should specify client outcomes to resolve problems identified in the nursing diagnosis. Because this client has a deficient knowledge about his newly diagnosed medical condition of diabetes, the nurse needs to educate him about insulin administration in order to address the problem identified in his nursing diagnosis. Administering insulin and monitoring blood sugar and symptoms of hypo-/hyperglycemia are nursing measures used to treat the client and do not directly impact the client’s knowledge deficit.

The nurse is caring for an underweight client diagnosed with a new food allergy to wheat, rye, and oats. What is the most appropriate intervention for this client with a nursing diagnosis of imbalanced nutrition: less than body requirements?A. Administer a daily multivitamin B. Weigh client PRN C. Monitor for allergies

D. Administer 2500 calorie (10,500 kJ) diet, excluding wheat, rye, and oats

D. Administer 2500 calorie (10,500 kJ) diet, excluding wheat, rye, and oats

The implementation phase is the phase of the nursing process in which the plan of care is carried out. It is designed to promote wellness and restore health to clients through interventions that are collaborative and nursing driven. The plan of care and implementation should be individualized and should specify client outcomes to resolve problems identified in the nursing diagnosis. Because this client is underweight and has an allergy to wheat, rye, and oats; a specific nursing intervention of administering a diet with 2500 calories and no wheat, rye, and oats makes this plan of care individualized for this client. Administering a multivitamin, monitoring for allergies, and weighing the client PRN are generalized nursing measures and not specific to this client.

The nurse is in the evaluation phase of the nursing process when developing the plan of care for a client. What does the nurse determine this phase will include? Select all that applyA. Evaluation is the last part of the nursing process. B. Evaluation does not involve patient assessment. C. The evaluation is used to determine decisions about terminating, continuing, or modifying the plan of care. D. Evaluations should be documented daily in the client record.

E. Only factors that positively affect the outcome should be identified during evaluation.

A. Evaluation is the last part of the nursing process. C. The evaluation is used to determine decisions about terminating, continuing, or modifying the plan of care. D. Evaluations should be documented daily in the client record.

Rationale: The evaluation phase of the nursing process measures the extent to which the client has achieved outcomes and drives the termination, continuation, or modification of the plan of care. Evaluation does involve nursing assessment to determine if the client has met the outcome. Factors that positively and negatively affect the outcome should be identified to assist with meeting the client outcomes.

A nurse has completed a client assessment and is preparing to identify appropriate nursing diagnoses. Which areas would the nurse likely address in the diagnosis? Select all that apply.A. Heart failure B. Pneunomia C. Impaired mobility D. Imbalanced nutrition

E. Ineffective coping

C. Impaired mobility D. Imbalanced nutrition E. Ineffective coping

Rationale: NANDA-International defines nursing diagnosis as “a clinical judgment about individual, family, or community experiences/responses to actual or potential health problems/life processes.” A medical diagnosis describes a disease, whereas a nursing diagnosis describes an individual, family, or group response to an actual or potential health problem. A nursing diagnosis provides the basis for selection of nursing interventions to achieve positive client outcomes.

A nurse is conducting focused data collection and recognizes the existence of cues. The nurse is most likely involved in which phase of the nursing process?A. Implementation B. Diagnosis C. Assessment

D. Planning

C. Assessment

Rationale: During assessment, the nurse recognizes the existence of cues and conducts a focused data collection. During diagnosis, the nurse clusters cues, interprets the clusters, and validates the diagnoses for accuracy. Planning involves preparing a client plan of care which directs the activities of the nursing staff in the provision of care. Implementation is the action phase of the nursing process.

A nurse identifies the following: "The client will report a pain rating of 4 or less within 30 to 45 minutes of receiving prescribed analgesic." The nurse has identified:A. nursing diagnosis. B. intervention. C. subjective data.

D. outcome.

D. outcome.

Rationale: This statement is an outcome statement that focuses on the client, is realistic, and is measurable. Subjective data would include information from the client, such as complaints or reports of anxiety. Nursing diagnosis is a clinical judgment about an individual, family, or community experience/response to an actual or potential health problem. Intervention would be the action to be completed based on the nursing diagnosis and intended outcome (e.g., administering a prescribed analgesic).

A nurse demonstrates clinical reasoning during which phases of the nursing process? Select all that apply.A. Assessment B. Diagnosis C. Evaluation D. Implementation E. Planning

F. clinical judgement

A. Assessment B. Diagnosis C. Evaluation D. Implementation E. Planning

Rationale: All parts of the nursing process require clinical reasoning: assessment, diagnosis, outcome identification, planning, implementation, and evaluation. Clinical judgment is developed when the nurse utilizes the process.

While working as part of an interdisciplinary group developing a client's plan of care, a nurse asks the question, "Can you give me an example?" The nurse is demonstrating which standard for judging thinking?A. Precision B. Accuracy C. Clarity

D. Relevance

C. Clarity

Rationale: The nurse's question reflects clarity, or the need for more information. Accuracy would be reflected in questions about the information being true. Precision is reflected by questions asking for more details or specifics. Relevance would be reflected by questions related to how something connects to the issue.

A nurse is caring for a post-operative client 1 day after a total abdominal hysterectomy. Which nursing intervention demonstrates caring?A. assisting the client to sit up in a chair B. monitoring vital signs C. notifying the healthcare provider of lab results

D. assessing the abdominal incision

A. assisting the client to sit up in a chair

Rationale: Caring skills are nursing interventions that restore or maintain a person's health and may involve actions as simple as assisting with activities of daily living (ADLs), the acts that people normally do every day, such as bathing, grooming, dressing, toileting, and eating. Assisting the client to sit up in the chair is an example of this type of caring behavior. The other options are important nursing tasks, but they are not demonstrating the art of caring.

The nurse is teaching about the nursing processes. In which order should the nurse explain the phases to the student nurse?- Implementation- Evaluation- Assessment- Diagnosis

- Planning

- Assessing- Diagnosis- Planning- Implementation- Evaluation

Rationale: The nurse should explain that the correct sequence of the nursing process includes assessment, diagnosis, planning, implementation, and evaluation.