A student falsely accused a college professor of sexual intimidation. The professor tells the nurse, "I cannot teach nor do any research. My mind is totally preoccupied with these false accusations." What is the priority nursing diagnosis?
a. Ineffective denial related to threats to professional identity
b. Deficient knowledge related to sexual harassment protocols
c. Impaired social interaction related to loss of teaching abilities
d. Ineffective role performance related to distress from false accusations
ANS: D
This nursing diagnosis is the priority because it reflects the consequences of the precipitating event associated with the professor's crisis. There is no evidence of denial. Deficient knowledge may apply, but it is not the priority. Data are not present to diagnose impaired social interaction.
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The nurse's plan of care for a patient with stage 3 HIV addresses the diagnosis of Risk for Impaired Skin Integrity Related to Candidiasis. What nursing intervention best addresses this risk?
A) Providing thorough oral care before and after meals B) Administering prophylactic antibiotics C) Promoting nutrition and adequate fluid intake D) Applying skin emollients as needed
During a routine physical exam for a patient diagnosed with hypertension, the nurse practitioner will be most concerned if which of the following assessments are found?
A) Noted hemorrhages and microaneurysms during evaluation of the internal eye B) Unable to feel vibrations when a tuning fork is placed on the skull C) Inability to locate the kidneys with deep palpation to the abdomen D) Slight increase in the number of varicose veins noted bilaterally
The client tells the nurse that the doctor told him his antibiotic did not kill his infection, but just slowed its growth. The client is anxious. What is the best response by the nurse to decrease the client's anxiety?
1. "This is okay because your body will help kill the infection too." 2. "This is okay because your doctor is an infectious disease specialist." 3. "This is okay because your blood work is being monitored daily." 4. "This is okay because your infection is not really that serious."
Maggie is 7 months pregnant with her first child. She is 37 years old and waited to start a family until she felt established in her career
She is visiting the health care provider for her scheduled prenatal check up and tells the nurse that she is short of breath and fatigued. What is the best re-sponse from the nurse? A. "You should have let us know immediately instead of waiting until your ap-pointment." B. "I'll make a note of it on your chart." C. "That is normal; your uterus is pushing on your diaphragm, making it more diffi-cult to breathe." D. "The health care provider should have warned you about this on your last visit."