The patient expresses a desire to learn methods to be independent regarding self-care. Based on this, the most appropriate nursing diagnosis would be:
a. ineffective health maintenance.
b. readiness for enhanced self-care.
c. hygiene self-care deficit.
d. disturbed body image.
ANS: B
Readiness for enhanced self-care is evidenced by a patient expressing a desire to be independent in ADLs. Ineffective health maintenance is an inability to maintain health, hygiene self-care deficit indicates they are unable to perform hygiene, and disturbed body image relates to how they view their body.
You might also like to view...
An adolescent reports the following: "I get up at 6 a.m., attend early-morning band classes three times each week, play sports for two hours each day after school, and homework takes me three hours each night. I always feel tired
" The priority history question is: 1. How many hours of sleep do you get each night? 2. Do you consume foods high in iron? 3. Do you think you are doing too much? 4. Have you considered talking with your teachers about decreasing your homework?
A major change has occurred in the governance of the hospital. How can the nurse manager help staff cope with this change? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. Disperse information about the change as quickly as possible. 2. Discourage any negative discussion about the change. 3. Remind staff that change is part of the health care environment. 4. Talk about the change in positive terms. 5. Withdraw slightly from those who oppose the change.
The nurse is discussing the results of laboratory findings with an older client who is complaining of weight gain. The nurse should explain to the client that:
1. weight gain occurs due to the normal decrease of triiodothyronine. 2. the thyroid gland increases activity with advancing age. 3. the pancreas fails to secrete enzymes and weight gain results. 4. a decrease in phosphorous causes weight gain.
The nurse has incorporated the use of relaxation techniques into the care of clients with cancer. What is the best rationale for this inclusion?
1. Relaxation techniques calm clients, making them more cooperative during invasive procedures. 2. It has been shown that clients receiving chemotherapy lose less hair when they are relaxed. 3. Relaxation influences the immune system. 4. Relaxation techniques can eliminate the need for pain medication in cancer clients.