A patient with a spinal cord injury is seeking to enhance urinary elimination abilities by learning self-catheterization versus assisted catheterization by home health nurses and family members
The nurse adds Readiness for enhanced urinary elimination in the care plan. Which type of diagnosis did the nurse write?
a. Risk
b. Problem focused
c. Health promotion
d. Collaborative problem
ANS: C
A health promotion nursing diagnosis is a clinical judgment concerning motivation and desire to increase well-being and actualize human health potential. A problem-focused nursing diagnosis describes a clinical judgment concerning an undesirable human response to a health condition/life process that exists in an individual, family, or community. A risk nursing diagnosis is a clinical judgment concerning the vulnerability of an individual, family, group or community for developing an undesirable human response to health conditions/life processes. A collaborative problem is an actual or potential physiological complication that nurses monitor to detect the onset of changes in a patient's health status.
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Which teaching is essential for a client who is going to have intraocular pressure measurement with a slit lamp?
a. "The test causes temporary blindness." b. "The test is quick and a local anesthetic is used." c. "The test does cause a little pain, but it is over quickly." d. "The test causes some tearing, but no pain."
In inspecting the eyes of a child, the nurse notes that there are some small white flecks around the perimeter of the iris. These white flecks are called:
a. cotton patches c. snow spots b. Brushfield spots d. northern lights
A newborn is diagnosed with metatarsus adductus. The parents ask the nurse how this occurred. Which response by the nurse would be most appropriate?
A) "This condition is due to a genetic defect in the bones." B) "It's most likely from how the baby was positioned in utero." C) "They really don't know what causes this condition." D) "There is probably an underlying deformity of the baby's hip."
A nurse researcher wishes to identify rates of pertussis infection in children less than one year of age and then again at 6 years of age to examine the relationship of immunization status on infection rates in this population. This is an example of which
a. Correlational, longitudinal
b. Correlational, cross-sectional
c. Descriptive, longitudinal
d. Descriptive, cross-sectional