The Nurse Is Contributing to a Plan of Care for a Patient

question 35

Multiple Choice

The nurse is contributing to a plan of care for a patient who has had a 5 pound weight gain in 2 days,pitting edema of the ankles,lung crackles,and distended neck veins.Which nursing diagnosis would be given priority in the plan of care?

• A) Noncompliance
• B) Urinary Retention
• C) Excess Fluid Volume
• D) Ineffective Health Maintenance

---

Definitions:

Differential Validity

Test validation process aimed at discovering the validity of a test for various subgroups, e.g., females and members of visible minorities.

Separate Test Validation

The process of evaluating a test independently from other tests to ensure it accurately measures what it's intended to measure.

Subgroups

Distinctive smaller groups within a larger group or organization, often characterized by shared interests or traits.

Subjective Approach

An approach where the decision maker looks at the scores received by the various applicants on predictors, subjectively evaluates all of the information, and comes to an overall judgment.