What nursing diagnosis should be considered when caring for a patient who has engaged in direct or indirect self-destructive behavior?
a. Death anxiety
b. Chronic low self-esteem
c. Disturbed body image
d. Disturbed personal identity
B
To think about or attempt self-destruction, the individual must have low self-regard.
You might also like to view...
The nurse is caring for a postoperative patient who had a colostomy placed 2 days ago. The appliance needs to be changed for the first time. Which ostomy care actions may the nurse delegate to the nursing assistant? (Select all that apply.)
a. Gently cleaning the stoma with warm water and a washcloth. b. Assessing the stoma and incision for signs of infection or ischemia. c. Obtaining needed supplies from the clean utility room. d. Teaching the patient how to care for the ostomy after discharge. e. Determining which type of ostomy appliance to use. f. Application of skin protectant to the area surrounding the stoma.
What instructions should the nurse provide to a client at risk of deep vein thrombosis who is being discharged home with low–molecular weight heparin?
A. "You must have your aPTT checked every 2 weeks." B. "Massage the injection site after the heparin is expelled." C. "Notify your health care provider if your stools appear tarry." D. "You will have a heparin lock placed before discharge for injection of the medi-cation."
The nurse manager determines that a staff nurse planned quality care for an assigned patient. What did the manager observe to come to this conclusion?
1. Incorporation of patient preferences 2. Accurate calculation of intake and output 3. Delegation of tasks to unlicensed assistive personnel 4. Logging out of the computer system after documenting
A nurse would like to obtain certification as a forensic nurse. Which specialty certifications are available for the forensic nurse? Select all that apply
a. Legal Nurse Consultant b. Death Investigator c. Adolescent and adult sexual assault nurse examiner (SANE A) d. Forensic Consultant