The nurse identifies that a client has not met the expected outcome established for the nursing diagnosis Ineffective Individual Coping. What should the nurse do first?
1. Revise the nursing diagnosis.
2. Reassess the patient, looking for previously unknown stressors.
3. Rewrite the interventions used to address the problem.
4. Explore reasons why the outcome was not achieved.
Correct Answer: 4
Rationale: When the expected outcome is not met, the nurse, client, and support persons must explore reasons why before modifying the remaining portions of the care plan.
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The discharge process is completed when the nurse: Standard Text: Select all that apply
1. Closes the door on the client's transportation vehicle 2. Report that the discharge is complete is given to the nurse manager 3. Client's reaction to discharge is recorded on the client's medical record 4. Discharge time, transportation and who accompanied client are recorded in the client's medical record 5. Client signs the discharge instructions
The nurse is assessing an older client who is having an annual assessment. In order to assess age-related changes of the musculoskeletal system, the nurse should assess:
1. the client's weight. 2. vital signs 3. the client's height. 4. the client's normal urine output.
The nursing staff are conducting audits in order to:
a. collect and analyze data to evaluate the effectiveness of nursing interventions. b. audit the budget of a nursing unit. c. quantify and classify the amount of nursing care administered. d. determine the number of sick days and leave days nursing personnel take.
Which patient meets the criteria for constipation? You may select more than one answer
1. A patient who has not had a bowel movement in 3 days 2. A patient whose bowel movements are irregular 3. A patient with regular hard and dry stools 4. A patient who has to strain to evacuate a soft stool 5. A patient who strains during more than 25% of bowel movements