A nurse admits a patient to the unit after completing a comprehensive interview and physical examination. In order to develop a nursing diagnosis, the nurse must now:
1) Analyze the assessment data.
2) Consult standards of care.
3) Decide which interventions are appropriate.
4) Ask the client's perceptions of her health problem.
ANS: 1
You might also like to view...
A nurse is caring for a client with an adjustment disorder with depressed mood. The nurse wants to perform interventions that will promote hope for the client. Which intervention best promotes hope in this client?
A) Help caregivers acknowledge clients' dependency and assume appropriate responsibility. B) Help clients to identify ways in which they have control of their lives. C) Provide families with a list of community resources and encourage them to participate in support groups. D) Provide the families with information about clients' condition in accordance with client preferences.
The student nurse is learning about the various complementary and alternative medicine (CAM) therapies, which may be employed as collaborative treatment for the patient with mental illness. What will the student learn about the core concept of Ayurveda?
1. It uses instruments measuring body functions and providing sensory feedback to train patients to voluntarily control certain bodily processes. 2. It aims to integrate the body, mind, and spirit to prevent and treat illness and may employ herbs, massage, meditation, diet, and lifestyle modifications. 3. A medical system originating in China, its philosophy views the human body as a microcosm of the surrounding universe. 4. It seeks to stimulate the body's ability to heal itself by giving very small doses of highly diluted substances that, in larger doses, would produce symptoms or illness.
The nurse is assessing the Tanner stage in an adolescent male. The nurse recognizes that the stages are based on what?
a. Hair growth on the face and chest b. Changes in the voice to a deeper timbre c. Muscle growth in the arms, legs, and shoulders d. Size and shape of the penis and scrotum and distribution of pubic hair
What is an appropriate nursing action to decrease the effects of venom for a patient who has been bitten on the left arm by a poisonous snake?
a. Encourage the patient to ambulate b. Keep the patient calm. c. Elevate the patient's left arm. d. Perform passive range of motion of the left arm.