A client verbalizes to a mental health counselor that his life is meaningless since his wife divorced him and that he no longer wants to live. What nursing diagnosis, resulting from his spiritual distress, would be appropriate?
A) Sexual Dysfunction
B) Fear
C) Powerlessness
D) Risk for Self-Directed Violence
Ans: D
Spiritual distress may affect other areas of human functioning. Spiritual distress may be the etiology of the nursing diagnosis "Risk for Self-Directed Violence" related to feelings that life is meaningless.
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The nurse is assessing a client's urine output. In addition to amount, the nurse notes the characteristics of the urine. Which is considered a normal characteristic of urine?
a. It has a musty odor. b. It contains mucus. c. It appears transparent. d. It is dark amber in color.
A client with terminal cancer of the lung complains of being short of breath with bilateral crackles and wheezes, despite oxygen at 4 liters per minute via nasal cannula and diuretic therapy
What nursing interventions are appropriate for this client? (Select all that apply.) 1. Move the client to a room closer to the nurse's desk for closer observation 2. Help the client assume a position lying on the right side 3. Place a fan in the room to move air around the client 4. Change the client's oxygen therapy to a nonrebreathing mask Elevate the head of the client's bed to a Fowler's position
A child is admitted to the emergency department with a head injury. The nurse makes an assessment and will record which of the following baseline data:
a. Pupil size b. Level of consciousness c. Vital signs d. All of the above
The nurse participates in data collection in a study in which two different pain management protocols are used with randomly assigned patients to measure differences in postoperative recovery time. Which method of study is this?
a. Control b. Correlation c. Description d. Explanation