Assessment of your 55-year-old client reveals financial stressors, midlife crisis, poor physical hygiene, and smoking. Which diagnosis would be appropriate?
1. Ineffective health maintenance
2. Deficient knowledge (smoking)
3. Ineffective therapeutic regimen management
4. Delayed growth and development
ANS: 1
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The best time to teach nonpharmacologic pain control methods to an unprepared laboring client is during which stage?
a. Latent phase b. Active phase c. Second stage d. Transition phase
A public health nurse (PHN) is working with a community after a major wildfire. The fire has been completely contained and will be put out shortly. How does the nurse proceed?
A. Return home and allow the local firefighters to finish putting the fire out. B. Contact the Federal Government to ask for assistance in managing the wildfire. C. Wait another day or two until the fire is confirmed to be out and then return home. D. Begin surveillance and assess for incidences of respiratory disease related to the fires.
While planning care for a client, the nurse identifies content that would address the client's diagnosis of Deficient Knowledge. The nurse will ensure time is allocated for client instruction because:
1. the client cannot be discharged without it. 2. it is a legal component of the nursing process. 3. it is a nice thing to do for a client. 4. the physician has written an order for instruction.
Which information should the nurse include in the teaching plan for the parents of a child who is diagnosed with autism spectrum disorder (ASD) as methods to increase the child's socialization?
1. Create a reward system when the child interacts with a person. 2. Punish the child when the child's social behaviors are inappropriate. 3. Use dolls to demonstrate appropriate social interactions to the child. 4. Enroll the child in a day care facility to encourage interaction with other children.