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ADPIE NCLEX QUESTIONS (ANSWERED)

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ADPIE NCLEX QUESTIONS A nurse is writing the nursing diagnoses for patients in a psychiatrist's office. Which nursing diagnoses are correctly written as two part nursing diagnoses? 1. Ineffective coping related to inability to maintain marriage. 2. Defensive coping related to loss of job and economic security 3. Altered thought processes related to panic state 4. Decisional conflict related to placement of patient in a long term care facility a. 1 & 2 b. 3 &4 c. 1, 2 & 3 d. all of the above A nurse writes nursing diagnoses for patients and their families visiting a community health clinic. Which nursing diagnoses are correctly written as three part nursing diagnoses? 1. Disabled family coping related to lack of knowledge about home care of child on ventilator 2. Imbalanced nutrition: less than body requirements related to inadequate caloric intake while striving to excel in gymnastics as evidenced by 20 pound weight loss since beginning the gymnastic program, and greatly less than ideal body weight when compared to standard height and weight charts. 3. Need to learn how to care for child on ventilator at home related to unexpected discharge of daughter after 3 month hospital stay as evidenced by repeated comments "I cannot do this." "I know I'll harm her because I'm not a nurse." and "I can't do medical things" 4. Spiritual distress related to inability to accept diagnoses of terminal illness as evidenced by multiple comments such as "How could God do this to me?" "I don't deserve this." "I don't understand, Ive tried to live my life well" and "How could God make me suffer this way?" 5. Caregiver role strain related to failure of home health aides to appropriately diagnose needs of family caregivers and initiate a plan to facilitate coping as evidenced by caregivers loss of weight and clinical depression. a. 1 & 2 b. 2 & 4 c. 1, 2, & 3 d. all of the above A nurse is planning to care for a male adolescent patient who is admitted to the hospital for treatment of a drug overdose. Which nursing actions are related to the outcome identification and planning step of the nursing process? select all that apply a. The nurse formulates nursing diagnoses b. The nurse identifies expected patient outcomes c. The nurse selects evidenced based nursing interventions d. The nurse explains the nursing care plan to the patient e. the nurse assesses the patients mental status f. the nurse evaluates the patients outcome achievement A nurse on a busy surgical unit relies on informal planning to provide appropriate nursing responses to patients in a timely manner. What are examples of this type of planning? Select all that apply. a. A nurse sits down with a patient and prioritizes existing diagnoses b. A nurse assesses a women for postpartum depression during routine care c. A nurse plans interventions for a patient who is diagnosed with epilepsy. d. A busy nurse takes time to speak to a patient who received bad news e. A nurse reassesses a patient whose PRN pain medication is not working f. A nurse coordinates the home care of a patient being discharged When helping a patient turn in bed, the nurse notices the his heels are reddened and plans to place him on precautions for skin breakdown. This is an example of what type of planning? a. initial planning b. Standardized planning c. ongoing

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