The nurse is providing care to a post-stroke patient on the rehabilitation floor with a nursing diagnosis of hygiene self-care deficit. Which goal is most appropriate on day one?

a. Patient will ambulate independently twice a day.
b. Patient will perform all of own ADLs.
c. Patient will consume 75% of all meals.
d. Patient will begin to perform 50% of own ADLs.


ANS: D
The patient need to work towards achieving as much independence in self-care as possible; starting with 50% in a post-stroke patient on day one is more achievable than 100%. Ambulating and eating meals are not goals for a self-care deficit.

Nursing

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The nurse is counseling a 17-year-old girl on smoking cessation. The nurse should include which of the following helpful tips in her education? Select all that apply

a. "Keep healthy snacks or gum available to chew instead of smoking a cigarette." b. "Don't tell your friends and family you are trying to quit, until you feel confident that you'll be successful." c. "Plan a time to quit when you will not have many other demands or stressors in your life." d. "Reward yourself with an activity you enjoy when you quit smoking."

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The nurse plans activities for female elders born between 1920 and 1930 and who reside in an assisted-living facility. Which is the best intervention for the nurse to implement?

a. Have them bake cookies twice a week. b. Conduct interviews for specific interests. c. Arrange dog and cat visits from volunteers. d. Take them to the library for guest speakers.

Nursing

Which of the following are some of the goals of the Magnet Recognition Program? Select all that apply

a. promote quality in a manner that supports nursing practice b. identify potential patient safety concerns c. identify excellence in the delivery of nursing service to patients d. provide a means for the dissemination of best practices in nursing services

Nursing

The early stage of oral cancer is characteristically asymptomatic

Indicate whether the statement is true or false

Nursing