A client with severe and persistent mental illness who has just moved into a homeless shelter tells
the nurse that his "life just got out of control.". He stated that he could not depend on others, so he
kept to himself.
Then he added "I am like a leaf at the mercy of the wind.". The nurse adds the
nursing diagnosis of powerlessness to his care plan. The outcome that should be identified as most
relevant is
a. hope.
b. self-esteem.
c. personal autonomy.
d. anxiety self-control.
C
On the basis of information in the scenario, the most relevant outcome is personal autonomy. The
client speaks of loss of control over his life and of being like a leaf blown about. Data are not present
to suggest hopelessness, low self-esteem, or increased anxiety.
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In a variation of rooming-in, called couplet care, the mother and infant share a room, and the mother shares the care of the infant with:
a. The father of the infant. b. Her mother (the infant's grandmother). c. Her eldest daughter (the infant's sister). d. The nurse.
What does SMART stand for?
a. Specific Measured Achievable Realistic Timed b. Small Meaningful Achievable Realistic Timed c. Specific Measured Action Real Timed d. Small Medium Actual Relative Timed
The nurse is teaching a 75-year-old female client who is using a walker to ambulate how to facilitate the use of a walker in her home
Besides promoting self-esteem, what physical complications does mobility help to prevent? Select all answers that apply. A) Hypostatic pneumonia B) Pressure ulcers C) Thrombophlebitis D) Diarrhea E) Diabetes F) Constipation
A mother and her two children have been diagnosed with pediculosis corporis at a health care center. An appropriate measure in treating this condition is:
A. applying pyrethrins to the body B. topical application of griesofulvin C. moist compresses applied frequently D. administration of systemic antibiotics