The nurse is working with a client to develop an expected outcome for the nursing diagnosis Disturbed Sleep Pattern, difficulty staying asleep related to anxiety secondary to multiple life stressors. Which expected outcome would be most applicable to this client's situation? The client will:
A) Report getting sufficient sleep to provide energy for daily activities.
B) Manifest less anxiety after taking prescribed medications.
C) Sleep at least 8 hours each night.
D) List three positive coping mechanisms for anxiety relief.
A
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The nurse is assessing an older adult from a culture different than the nurse's by asking questions from the Explanatory Model for Culturally Sensitive Assessment. Which ques-tion(s) should the nurse ask to follow this model?
a. How can we negotiate to solve the problem? b. What treatment can improve your condition? c. Should we try my plan first to see if it helps? d. Can we discuss differences in our plans now? e. How long have you experienced the problem? f. Who, other than me, can make you feel better?
When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the defense mechanism of:
a. compensation. b. rationalization. c. sublimation. d. regression.
A patient is being mechanically ventilated in the synchronized intermittent mandatory ventilation mode at a rate of 4 breaths/min. His spontaneous respirations are 12 breaths/min
He receives a dose of morphine sulfate, and his respirations decrease to 4 breaths/min. Which acid-base disturbance will likely occur? a. Metabolic acidosis b. Metabolic alkalosis c. Respiratory acidosis d. Respiratory alkalosis
While assessing a high-acuity patient, the nurse learns the patient has a history of arthritis. Which question would provide the most information regarding potential impact on the patient's fluid and electrolyte balance?
1. "How well are you able to take care of your daily needs?" 2. "How well do you sleep?" 3. "How often do you take nonsteroidal anti-inflammatory medications?" 4. "Does your arthritis affect mostly your hands or your feet and legs?"