The faculty member teaches nursing students that a nursing diagnosis (Select all that apply.)
a. can be treated with nurse-prescribed activities.
b. describes human responses to health events.
c. leads to actions that are designed to cure.
d. reflects actual or potential health problems.
e. revolves around pathophysiological problems.
A, B, D
The diagnosis paves the way for selecting an outcome and interventions. The interventions are independent nursing actions, or nurse-prescribed actions.
A nursing diagnosis describes the human response to an illness or life event.
Diagnoses can be either actual or "risk for," which reflect potential health problems.
A medical diagnosis leads to actions that are designed to cure.
A diagnosis that has a pathophysiological base is a medical diagnosis, focused on a specific illness.
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An older patient with Alzheimer's disease has a feeding tube. The family wants to know if the patient will ever be able to eat solid food again. What information should the nurse include when responding to this family's question?
1. The dietitian will decide if this can be done. 2. It depends upon the patient's functional eating abilities. 3. This can be done but the feeding tube has to be removed first. 4. In the patient with dementia, the restoration of natural feeding is highly unlikely.
A 78-year-old female comes to the clinic for a physical examination. She is accompanied by her daughter and looks to her daughter to answer questions during the interview
She was diagnosed with early Alzheimer's disease 2 years ago, and her daughter would like her current mental status evaluated. You ask the patient her daughter's name, and she answers correctly. You ask her the date and time, and she answers incorrectly. You hand the patient a pencil and ask her if she knows what it is. She replies with, "Is it a stick?" You ask the patient to put on a patient gown, and she does not know how to perform the task. These are examples of disorientation to time and: A. Agnosia and apraxia B. Anomia and aphasia C. Agnosia and ataxia D. Apathy and ataxia
The method of community data collection that involves directed conversation with selected community members is known as:
1. Informant interview 2. Participant observation 3. Secondary analysis 4. Windshield survey
Unlike a nondepolarizing paralytic, a competitive depolarizing paralytic:
A) causes muscle fasciculations. B) does not induce full paralysis. C) causes profound sedation. D) lowers serum potassium.