In determining patient goals, the nurse should:
a. allow patients to identify what is most important to them.
b. take the lead and determine what is best for the patient.
c. should focus on health promotion and staying healthy.
d. explain the importance of avoiding complications.
ANS: A
As health care educators, nurses should allow patients to identify what is most important to them. If a newly diagnosed diabetic patient is interested in learning techniques of care that will allow discharge to home rather than to an extended care facility, the patient is more likely to be receptive to learning about self-monitoring blood sugar levels. After the learning goals related to the issues that the patient feels are a priority have been met, the patient may then be able to focus on health promotion and avoiding complications.
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Which of the following studies would not be considered nursing research?
a. Assessing the knowledge base of caregivers of Alzheimer's patients b. Developing innovative pin insertion techniques for fracture treatment c. Evaluating the effectiveness of wound care in diabetic patients d. Reviewing staff nurse retention policies in rural hospital settings
The nurse knows teaching about essential and nonessential amino acids has been effective when the client states:
1. "I need to avoid fatty fish.". 2. "Nonessential amino acids are not important.". 3. "Essential amino acids must come from dietary sources.". 4. "As long as I consume nitrogen from any source I will have all the amino acids I need.".
A patient with severe chronic obstructive pulmonary disease (COPD) tells the nurse, "I wish I were dead! I'm just a burden on everybody." Based on this information, which nursing diagnosis is most appropriate?
a. Complicated grieving related to expectation of death b. Ineffective coping related to unknown outcome of illness c. Deficient knowledge related to lack of education about COPD d. Chronic low self-esteem related to increased physical dependence
If the patient returns to the room unconscious, you should
A) obtain the vital signs, then care for your other assigned patients. B) attempt to wake the patient up. C) give the patient some water. D) never leave the patient alone.