If asked to explain the NANDA taxonomy to another health professional, the nurse should state that it is a:
1. Hierarchic framework of human response patterns
2. Framework of functional health patterns
3. Framework for categorizing psychiatric disorders
4. Series of outcomes most influenced by nursing actions
ANS: 1
NANDA, in its taxonomy, has identified nine human response patterns under which nursing di-agnoses can be organized. 2. This refers to Marjory Gordon's framework. 3. The DSM-IV-TR is one framework for categorizing psychiatric disorders. 4. Nursing Outcomes Classification is concerned with outcomes.
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A 34-year-old woman with a body mass index of 56 has recently started to take orlistat. The nurse has educated the patient about the common adverse effects of this medication, including the potential for diarrhea and flatulence
Which of the following meals would be most likely to exacerbate the adverse effects of orlistat? A) A Cobb salad with romaine lettuce, boiled egg, chicken breast, tomato, and cheese B) A tomato, green pepper, and ham omelet C) A salami, sausage, and pepperoni pizza topped with mozzarella and parmesan D) A bowl of beef chili con carne topped with diced onions
A client, aged 42 years, seeks crisis intervention. She tells the nurse "I cannot take it anymore! It has
to stop. Last year my husband had an affair, and we do not communicate anymore. Three months ago I found a lump in my breast, and yesterday my 20-year-old daughter told me she is quitting college and moving to another state with her boyfriend.". After making the assessment that the client's nuclear family is unable to provide the client with sufficient situational support, the nurse should a. suggest that the client seek admission to the inpatient crisis unit. b. ask what other relatives or friends are available to support her. c. tell the client to be emotionally strong and to let her daughter go. d. foster insight by relating the present situation to earlier situations involving loss.
The patient is scheduled to begin treatment with a calcium channel blocker. Before initiating treatment, the health care provider should plan to assess the patient's level of:
a. Calcium b. Cardiac enzymes c. Potassium d. Creatinine
A client with a brain tumor is showing more signs of confusion and the physician thinks the clients brain has some edema in the area of the tumor. The physician will prescribe which medication to this client to decrease cerebral edema?
a. phenytoin (Dilantin) b. cimetidine (Tagamet) c. nonsteroidal anti-inflammatory drugs (NSAIDs) d. dexamethasone (Decadron)