The charge nurse is reviewing the healthcare plans written by the unit's staff nurses. Which NANDA nursing diagnosis is most likely to be construed as culturally biased and possibly offensive?
1. Fear related to separation from support system during hospitalization
2. Spiritual Distress related to discrepancy between beliefs and prescribed treatment
3. Interrupted Family Processes related to a shift in family roles secondary to demands of illness
4. Noncompliance related to impaired verbal communication secondary to recent immigration from non–English-speaking area
4
Explanation:
1. This option seeks to explain how the culturally sensitive nurse can partner with the families more effectively.
2. This option seeks to explain how the culturally sensitive nurse can partner with the families more effectively.
3. This option seeks to explain how the culturally sensitive nurse can partner with the families more effectively.
4. The phrase "impaired verbal communication" might be offensive because speaking a different language is not equivalent to being impaired, and noncompliance does not stem from misunderstanding.
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An older patient is being abused by family members in the home and asks about adult protective services. What should the nurse explain about these services?
1. They are an organization that prosecutes those persons who abuse the elderly. 2. They provide services to protect older people who may be abused or neglected. 3. They provide a way to permanently keep the older patient separated from the abuser. 4. They place older patients who cannot adequately care for themselves in nursing homes.
The home care nurse visits an older client with diabetes. For which nutritional problem does the nurse monitor this client?
a. Obesity b. Malnutrition c. Alcoholism d. Hyperglycemia
During an assessment the nurse notes that the patient's eyes are extremely wide open and bulging. The nurse realizes that this finding is consistent with what health problem?
1. hyperthyroidism 2. diabetes mellitus 3. hypofunction of the adrenal glands 4. hypofunction of the anterior pituitary gland
A patient has a wound that has tunneling. What dressing technique should the nurse use?
1. Loosely pack several large pieces of dry fluffy gauze into the tunnel. 2. Pack the area with moist squares of gauze to fill the dead space. 3. Use a continuous strip of gauze to pack the tunnel. 4. Leave the space in the tunnel open for drainage.