A widower reports a fear of intimacy because of an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has lost weight over the past year
Which nursing diagnosis should be a priority for this client? 1. Risk for situational low self-esteem AEB inability to achieve an erection
2. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
3. Social isolation R/T low self-esteem AEB refusing to engage in dating activities
4. Disturbed body image R/T penile flaccidity AEB client statements
2
Rationale: The nurse should prioritize the nursing diagnosis sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm. The nurse should assess the client's mood and level of energy, because depression and fatigue can decrease desire for participation in sexual activity.
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A middle-aged adult patient who is diagnosed with pertussis is complaining of right-sided thoracic pain. The nurse recognizes that this patient should be assessed for which conditions?
Select all that apply. 1. pleural effusion 2. pneumothorax 3. pulmonary emboli 4. rib fractures 5. pleurisy
Which action best demonstrates the importance of critical thinking on the practice of nursing?
A) Students being evaluated for critical thinking skills at various points in the nursing program B) Critical thinking as a student outcome for all schools of nursing C) Test items on course examinations being created that evaluate learners' ability to think critically D) NLN inclusion of critical thinking as a core component of entry level RN practice.
The nurse is assessing a 6-month-old infant during a scheduled well-baby check-up. Which are expected findings for this infant? Select all that apply
1. No head lag when pulled for sitting 2. Ability to turn from back to abdomen 3. Manipulates objects 4. Transfers objects from one hand to the other 5. A pincer grasp is noted.
A patient’s chart notes receptive aphasia. What does the healthcare professional understand about this patient’s abilities related to speech?
a. Speak in made up words. b. Produce verbal speech, but not comprehend language. c. Comprehend speech, but not verbally respond. d. Neither respond verbally nor comprehend speech