Nursing Care Plans: A Comprehensive Guide for Nursing Fundamentals

Question 1

What is the primary purpose of developing a nursing care plan?

Accepted Answer

To provide personalized care based on individual patient assessment and needs

Answer

To reduce the workload of healthcare professionals

Answer

To fulfill regulatory requirements

Answer

To record patient progress

Question 2

What is the initial step in the nursing care planning process?

Accepted Answer

Comprehensive patient assessment

Answer

Establishing nursing diagnoses

Answer

Setting goals and interventions

Answer

Evaluating the outcomes

Question 3

Which of the following is NOT considered a component of a nursing diagnosis?

Accepted Answer

Medical diagnosis

Answer

Problem

Answer

Etiology

Answer

Defining characteristics

Question 4

When evaluating the effectiveness of a nursing intervention, the primary focus should be:

Accepted Answer

The patient's response and outcomes

Answer

The nurse's perception of the intervention

Answer

The physician's approval of the intervention

Answer

The thoroughness of documentation

Question 5

Which of the following is an example of a nursing intervention for a patient with impaired mobility?

Accepted Answer

Providing an assistive device (e.g., walker)

Answer

Administering pain medication

Answer

Educating the patient on exercises

Answer

Monitoring vital signs

Question 6

As a nurse, your primary responsibility in developing a nursing care plan is to:

Accepted Answer

Ensure that the patient's needs and preferences are prioritized

Answer

Follow physician orders without question

Answer

Comply with hospital policies and regulations

Answer

Complete documentation accurately and efficiently

Question 7

Why is it crucial to conduct a thorough patient assessment before creating a nursing care plan?

Accepted Answer

To pinpoint current and potential health risks

Answer

To adhere to legal requirements

Answer

To gather data for statistical purposes

Answer

To satisfy the patient's family

Question 8

What is the main purpose of nurses when creating nursing care plans?

Accepted Answer

To enhance patient well-being

Answer

To record patient data

Answer

To meet regulatory standards

Answer

To enable communication between healthcare professionals

Question 9

In the nursing care planning process, what step should be undertaken first?

Accepted Answer

Gathering patient information through assessment

Answer

Determining appropriate nursing diagnoses

Answer

Developing specific interventions to address problems

Answer

Measuring patient progress and outcomes

Question 10

What is the primary purpose of a nursing diagnosis?

Accepted Answer

To guide the selection of appropriate nursing actions

Answer

To provide a clear label for the patient's health issue

Answer

To predict the patient's long-term health trajectory

Answer

To evaluate the effectiveness of nursing interventions

Question 11

What is the key distinction between a goal and an outcome in a nursing care plan?

Accepted Answer

Goals are general statements, whereas outcomes are specific and measurable.

Answer

Outcomes are general statements, whereas goals are specific and measurable.

Answer

Goals are measurable, while outcomes are not.

Answer

Outcomes are measurable, while goals are not.

Question 12

What is the main difference between subjective and objective nursing assessments?

Accepted Answer

Subjective assessments are based on the patient's self-reported experiences, while objective assessments are based on observable data.

Answer

Objective assessments are based on the patient's self-reported experiences, while subjective assessments are based on observable data.

Answer

Subjective assessments are more important than objective assessments.

Answer

Objective assessments are more important than subjective assessments.

Question 13

When prioritizing nursing diagnoses, which criterion should be given highest consideration?

Accepted Answer

Urgency of the problem

Answer

Frequency of the problem

Answer

Treatability of the problem

Answer

Likelihood of the problem changing

Question 14

Which type of nursing intervention aims to prevent a potential problem from occurring?

Accepted Answer

Preventive

Answer

Independent

Answer

Delegated

Answer

Dependent

Question 15

Which nursing theorist developed the concept of self-care?

Accepted Answer

Dorothea Orem

Answer

Virginia Henderson

Answer

Jean Watson

Answer

Florence Nightingale

Question 16

What is the primary purpose of a SOAP note?

Accepted Answer

To facilitate communication among healthcare professionals

Answer

To document patient data

Answer

To evaluate patient progress

Answer

To create a nursing care plan

Question 17

Which step in the nursing process involves gathering information about the patient's condition?

Accepted Answer

Assessment

Answer

Diagnosis

Answer

Planning

Answer

Implementation

Question 18

Which ethical principle guides nurses to maintain patient privacy?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Non-maleficence

Answer

Justice

Question 19

Inadequate documentation of a patient's nursing care plan may lead to which of the following legal repercussions?

Accepted Answer

Civil penalties, disciplinary actions, and professional liability

Answer

Verbal counseling and additional training

Answer

Enhanced patient outcomes

Question 20

In developing a comprehensive nursing care plan, which step logically precedes the identification of nursing diagnoses?

Accepted Answer

Patient assessment

Answer

Evaluation of patient outcomes

Answer

Development of interventions

Answer

Implementation of the plan

Question 21

Which statement accurately defines a nursing diagnosis?

Accepted Answer

A comprehensive description of the patient's health status and response to actual or potential health challenges

Answer

A list of specific medical interventions prescribed for the patient

Answer

A broad statement of the patient's goals for their care

Answer

A standardized set of nursing actions to be performed for all patients with a particular condition

Question 22

When evaluating the effectiveness of nursing interventions, which characteristic is NOT essential for ensuring their success?

Accepted Answer

Open-ended and non-specific language

Answer

Measurability of outcomes

Answer

Individualization to the patient's specific needs

Answer

Realistic and achievable goals

Question 23

Which of the following is NOT a recognized type of nursing care plan?

Accepted Answer

Universal care plan

Answer

Individualized care plan

Answer

Standard care plan

Answer

Collaborative care plan

Question 24

The nursing process, as a systematic approach to patient care, encompasses which sequence of steps?

Accepted Answer

Assessment, diagnosis, planning, implementation, and evaluation

Answer

Planning, implementation, evaluation, diagnosis, and assessment

Answer

Assessment, diagnosis, intervention, implementation, and evaluation

Answer

Diagnosis, planning, implementation, evaluation, and assessment

Question 25

Nursing diagnosis identifying risk for potential complications?

Accepted Answer

Risk diagnosis.

Answer

Actual diagnosis.

Answer

Wellness diagnosis.

Answer

Potential diagnosis.

Question 26

Non-benefit of using nursing care plans?

Accepted Answer

Increased workload for nurses.

Answer

Improved patient outcomes.

Answer

Increased nurse accountability.

Answer

Reduced risk of errors.

Question 27

Purpose of evaluating patient outcomes?

Accepted Answer

Both (a) and (b).

Answer

To determine if goals have been met.

Answer

To identify areas for improvement.

Answer

To justify nursing interventions.

Question 28

Difference between short-term and long-term nursing care plans?

Accepted Answer

Short-term plans for immediate needs, long-term plans for ongoing issues.

Answer

Long-term plans more specific than short-term plans.

Answer

Short-term plans evaluated more frequently than long-term plans.

Answer

No difference.

Question 29

Nursing diagnosis example?

Accepted Answer

Impaired physical mobility.

Answer

Hypertension.

Answer

Diabetes.

Answer

Fractured femur.

Question 30

Purpose of developing a nursing care plan?

Accepted Answer

To provide individualized care based on patient assessment.

Answer

To document the patient's medical history.

Answer

To fulfill regulatory requirements.

Answer

To ensure continuity of care between healthcare providers.

Question 31

First step in developing a nursing care plan?

Accepted Answer

Assessing the patient's needs.

Answer

Identifying nursing diagnoses.

Answer

Developing nursing interventions.

Answer

Evaluating patient outcomes.

Question 32

Which type of nursing care plan addresses a specific health issue that is anticipated to resolve within a limited time frame?

Accepted Answer

Problem-focused nursing care plan

Answer

Goal-oriented nursing care plan

Answer

Nursing care plan for chronic health conditions

Question 33

In the nursing care planning process, what action should be taken first?

Accepted Answer

Assess the patient's needs

Answer

Evaluate outcomes

Answer

Formulate nursing diagnoses

Answer

Develop interventions

Question 34

Which of the following is NOT a component essential to a nursing diagnosis?

Accepted Answer

Medical diagnosis

Answer

Related factors

Answer

Patient goals

Answer

Defining characteristics

Question 35

Which type of nursing intervention is primarily aimed at preventing potential complications?

Accepted Answer

Anticipatory intervention

Answer

Supportive intervention

Answer

Restorative intervention

Answer

Therapeutic intervention

Question 36

In providing patient-centered care, a fundamental principle to uphold is:

Accepted Answer

Collaborative partnership with the patient and their family

Answer

Focus on treating the underlying medical diagnosis

Answer

Adherence to standardized procedures

Answer

Sole reliance on the nurse's professional judgment

Question 37

What is the primary objective of developing a nursing care plan?

Accepted Answer

To enhance patient outcomes

Answer

To satisfy legal obligations

Answer

To fulfill accreditation requirements

Answer

To provide documentation of nursing care provided

Question 38

Among the following nursing diagnoses, which one is commonly associated with impaired skin integrity?

Accepted Answer

Impaired Skin Integrity

Answer

Constipation

Answer

Physical Immobility

Answer

Ineffective Airway Clearance

Question 39

Within the context of nursing care planning, what is the primary role of the interdisciplinary team?

Accepted Answer

To provide diverse perspectives and expertise

Answer

To provide approval for all nursing care plans

Answer

To solely carry out the implementation of the plan

Answer

To supervise the nurse primarily responsible for the plan

Question 40

When considering the legal implications surrounding nursing care plans, it is crucial to:

Accepted Answer

Ensure accurate and timely documentation

Answer

Allow for changes to be made without proper documentation

Answer

Obtain approval solely from the nurse responsible for the patient's care

Answer

Delegate the responsibility to unlicensed personnel

Question 41

What is the primary purpose of a nursing care plan?

Accepted Answer

To provide a comprehensive guide for individualized patient care and management

Answer

To only document nursing interventions

Answer

To exclusively evaluate patient outcomes

Question 42

Which step initiates the development of a nursing care plan?

Accepted Answer

Assessment of the patient's needs and health status

Answer

Development of interventions

Answer

Identification of nursing diagnoses

Question 43

What is the significance of using SMART goals in nursing care planning?

Accepted Answer

To ensure goals are specific, measurable, achievable, relevant, and time-bound, facilitating effective care evaluation

Answer

To solely evaluate patient progress

Answer

To exclusively prioritize nursing interventions

Question 44

When evaluating the effectiveness of a nursing care plan, which factor should be primarily considered?

Accepted Answer

Patient outcomes, including improvements in health status and well-being

Answer

Nurse satisfaction with the plan

Answer

Strict adherence to standards of care

Answer

Cost-effectiveness of the care provided

Question 45

Which nursing diagnosis is most appropriate for a patient experiencing shortness of breath?

Accepted Answer

Ineffective airway clearance related to airway obstruction

Answer

Risk for infection related to impaired skin integrity

Answer

Impaired gas exchange related to decreased lung capacity

Answer

Activity intolerance related to muscle weakness

Question 46

What is the fundamental distinction between a nursing intervention and a nursing outcome?

Accepted Answer

Interventions are actions taken by the nurse, while outcomes are the desired results or changes in the patient's health status

Answer

Interventions are measurable, but outcomes are not

Answer

Interventions are specific, whereas outcomes are general

Question 47

Which of the following is an example of a collaborative nursing intervention?

Accepted Answer

Consulting with other healthcare professionals, such as physicians or physical therapists

Answer

Monitoring vital signs

Answer

Administering medications

Question 48

Describe the primary role of the nurse in the nursing care planning process.

Accepted Answer

To assess patient needs, develop and implement individualized interventions, and evaluate patient outcomes in collaboration with the healthcare team

Answer

To perform diagnostic tests and interpret their results

Answer

To independently write medical orders for patient care

Question 49

When developing a nursing care plan for a newly diagnosed diabetic patient, what is the most crucial initial step?

Accepted Answer

Conducting a comprehensive assessment of the patient's needs.

Answer

Identifying potential nursing diagnoses.

Answer

Establishing measurable goals for the patient.

Question 50

A patient presents with shortness of breath and a productive cough. The nurse identifies "Ineffective Airway Clearance" as a nursing diagnosis. Which intervention is most appropriate for this diagnosis?

Accepted Answer

Assist the patient with deep breathing exercises.

Answer

Encourage fluid restriction.

Answer

Monitor vital signs every 4 hours.

Answer

Administer antibiotics as ordered.

Question 51

A patient aims to increase their daily fluid intake. What is the best way to evaluate the effectiveness of the nursing intervention?

Accepted Answer

Monitor the patient's urine output and hydration status.

Answer

Ask the patient if they feel thirsty.

Answer

Review the patient's dietary intake records.

Question 52

Which of the following is an example of subjective data gathered during a nursing assessment?

Accepted Answer

The patient reports pain in their right leg.

Answer

The patient's temperature is 101.2 degrees Fahrenheit.

Answer

The patient's heart rate is 100 beats per minute.

Answer

The patient's blood pressure is 140/90 mmHg.

Question 53

When documenting a nursing care plan, what is the most important element to include?

Accepted Answer

Specific, measurable, achievable, realistic, and time-bound (SMART) goals.

Answer

A list of all medications the patient is taking.

Answer

A detailed explanation of the patient's medical history.

Question 54

Which of these is the best example of a measurable goal for a patient diagnosed with "Impaired Physical Mobility"?

Accepted Answer

The patient will ambulate 10 feet with assistance by the end of the shift.

Answer

The patient will feel less pain when moving.

Answer

The patient will be able to move around the room more easily.

Question 55

A patient with a new colostomy is experiencing anxiety and feels overwhelmed about managing their ostomy. What is the most appropriate nursing intervention?

Accepted Answer

Provide the patient with education and support on ostomy care and management.

Answer

Administer pain medication as needed.

Answer

Encourage the patient to express their feelings to family and friends.

Question 56

A patient admitted to the hospital has a nursing diagnosis of "Risk for Falls." What is the most appropriate intervention to reduce their risk of falling?

Accepted Answer

Place a bed alarm on the patient's bed and ensure the room is well-lit.

Answer

Encourage the patient to stay in bed as much as possible.

Answer

Administer pain medication as ordered.

Question 57

When reviewing a patient's care plan, what is the best indicator of its effectiveness?

Accepted Answer

The patient's condition is improving, and they are meeting their goals.

Answer

The care plan is well-organized and easy to read.

Answer

The care plan includes all appropriate nursing interventions.