The sister of a patient in the ICU has been at the patient's bedside non-stop for 48 hours. The nurse suggests to her that she return home to rest. Which of the following is the proper rationale for the nurse making such a suggestion?
A) The sister is in the way of the health care providers.
B) The patient may become annoyed by her continual presence.
C) The patient will recover more easily in peace and quiet.
D) The sister needs to maintain her own health during this time.
D
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The most appropriate expected patient outcome for the nursing diagnosis of deficient knowledge about post-MI self-care would be:
A) Relief of angina B) Less anxiety C) Maintenance of adequate tissue perfusion D) Adherence to self-care program
Through the open door of the patient's room, the nurse observes a male patient and his long-term partner in a romantic embrace. The nurse's priority intervention is directed toward
a. reinforcing for the staff the patient's inti-macy needs. b. explaining to the patient the challenges that his relationship poses for the staff. c. offering to discuss the barriers to intimacy that the patient and his partner face. d. quietly closing the door to address the pa-tient's right to privacy.
Which statement is true regarding goals and expected outcomes?
a. Goals focus on long-term needs and expected outcomes focus on short-term needs. b. A goal is a broad statement of desired changes that need not be written in behavioral terms. c. An expected outcome is a specific statement that describes the methods through which the goal will be achieved. d. Long-term goals focus on the etiology com-ponent of the nursing diagnosis.
The nurse caring for the child in pain knows that distraction:
a. can give total pain relief to the child. b. is effective when the child is in severe pain. c. is the best method for pain relief. d. must be developmentally appropriate to refocus attention.