The nurse identifies the diagnosis of impaired physical mobility as being appropriate for an older patient. What defining characteristics did the nurse most likely assess in this patient? Standard Text: Select all that apply
1. Impaired coordination
2. Difficulty with self-care
3. Limited range of motion
4. Decreased muscle strength
5. Inability to purposefully move
1,3,4,5
Rationale: A defining characteristic for the nursing diagnosis of impaired physical mobility is impaired coordination.
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You are caring for a client who is immunosuppressed. You know that effective nursing care for this patient includes what?
A) Relevant assessment parameters B) Sensitivity to the disease process C) Responsiveness to signs of fluid overload D) Expected secondary disorders
A client being treated for depression tells the nurse that he has more desire to get out of bed and has been showering every day, eating, and has contacted several family members to talk. The nurse realizes this client is demonstrating:
1. Risk factors for self-harm. 2. Denial of the diagnosis of depression. 3. The need for assistance with activities of daily living. 4. Improvement in depression.
The nurse organizes developmental vision and hearing screening of young children to identify those with disabilities. Which of the following roles is being performed by the nurse?
a. Caregiver b. Coordinator c. Collaborator d. Case finder
A home health client lives alone in a small apartment and has only one phone, which is a land line. What safety recommendation might the visiting home health nurse make for this particular client?
1. Suggest that the client move to a nursing home or assisted living dwelling. 2. Recommend that the client be enrolled in an emergency response system. 3. Enroll the client in a program that places all the client's vital medical information in one place for emergency personnel. 4. Have the client post a list of emergency numbers (fire, police, ambulance) near the phone.