The nurse is individualizing Mr. Wu's plan of care by writing a plan for his nursing diagnosis of Anxiety. Why does the nurse need to write goals/outcomes on the plan of care? Because outcomes describe:
1) Desirable changes in the patient's health status.
2) Specific patient responses to medical interventions.
3) Specific nursing behaviors to improve a patient's health.
4) Criteria to evaluate the appropriateness of a nursing diagnosis.
ANS: 1
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An older adult patient is experiencing extreme stress related to an admission to the hospital. What should the nurse expect the patient to demonstrate?
a. Decreased heart rate b. Decreased blood pressure (BP) c. Irregular respiration d. Dilation of the pupils
The nurse is talking with a client in efforts to strengthen the new relationship. Which nursing theorist defined the concepts and stages involved in the development of the nurse-client relationship?
a. Madeleine Leininger c. Imogene King b. Betty Neuman d. Hildegard Peplau
Which technique alteration should the nurse make when initiating a venous access device in an older adult with large, tortuous veins?
A. Keep the extremity above the level of the heart. B. Use extra tape to keep the veins from rolling. C. Start the IV in the nondominant hand. D. Avoid the use of a tourniquet.
The nurse is teaching the caregivers how to handle a 2-year-old's negativism. Which of the following communications to the child by the caregivers would indicate they had understood the nurse's teaching?
a. "Do you want lunch now?" b. "Do you want peanut butter or bologna for lunch?" c. "If you don't stop for lunch now, you will have to go in time-out." d. "If you don't hurry up and eat, we won't have time to go to the store."