Which is a correctly written, appropriate outcome for a client with a history of suicide attempts who is currently exhibiting symptoms of low self-esteem by isolating self?
A. The client will not physically harm self.
B. The client will express three positive self-attributes by day 4.
C. The client will reveal a suicide plan.
D. The client will establish a trusting relationship.
B
Although the client has a history of suicide attempts, the current problem is isolative behaviors based on low self-esteem. Outcomes should be client centered, specific, realistic, and measureable and contain a time frame.
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The nurse educator is reviewing a student's care plan. Which of the following nursing diagnoses would not be appropriate to include when a patient experiences regressive behavior during the termination phase of the nurse–client relationship
? 1. Ineffective Coping 2. Self-care Deficit 3. Powerlessness 4. Knowledge Deficit
A patient with pneumonia in the right lower lobe is prescribed percussion and postural drainage. When performing percussion and postural drainage, the nurse should position him:
A) In semi-Fowler's position with his knees bent B) In a right side-lying position with the foot of his bed elevated C) In a prone or supine position with the foot of his bed elevated higher than his head D) Bent at the waist leaning slightly forward
The nurse is providing care to a client who admits to smoking 2 packs of per day for 34 years. The client also has a history of intermittent claudication, chronic bronchitis, and emphysema
After 6 weeks of smoking cessation the client reports, "yelling at my spouse" and "flying off the handle." Which effects of cigarette smoking are associated with the data collected from the client? Select all that apply. A) Nicotine causes destruction of the alveoli. B) The release of epinephrine causes vasoconstriction. C) Dopaminergic processes are implicated in withdrawal symptoms. D) Tar causes the mucus production seen in chronic bronchitis. E) Tobacco use causes atherosclerosis.
As decisions related to health care become increasingly complex, nurses need to be familiar with concepts related to advance directives. Which statement regarding advance directives is correct?
A) Hospitals are legally required to inform clients about advance directives. B) The status of advance directives remains consistent from state to state. C) Advance directives should be developed with the assistance of a physician or nurse. D) Nurses can be appointed a surrogate decision maker by the client.