A patient is concerned that she will not be able to maintain her dietary restrictions while in the hospital. What nursing diagnosis is most appropriate for this patient?
a. Spiritual distress
b. Impaired religiosity
c. Moral distress
d. Decisional conflict
ANS: B
Impaired religiosity occurs when a patient is unable to maintain religious rituals and practices. The other diagnoses are not related.
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Which nursing assessment would indicate a need for suctioning a patient with Guillain-Barré who is experiencing impaired breathing patterns because of neuromuscular failure?
a. Decreased pulse rate and respiration of 20 breaths/min b. Increased pulse rate and adventitious breath sounds c. Increased pulse rate and respiration of 16 breaths/min d. Decreased pulse and abdominal breathing
Diminished to absent breath sounds on the right side, tracheal deviation to the left side, and asymmetrical chest movement are indicative of which of the following disorders?
a. Tension pneumothorax b. Pneumonia c. Pulmonary fibrosis d. Atelectasis
Some changes over the past several decades that have impacted the healthcare delivery system and the practice of nursing include which of the following?
a. Changes in the patterns of disease b. Economic changes c. Population shifts d. Advances in technology e. All of the above
The nurse says "I find myself always thinking that Mr. X is really a lowlife, based on the way he treated his wife and children." These thoughts will prevent this nurse from
A. assessing client symptoms. B. assessing boundary issues. C. giving the client positive regard. D. engaging in values clarification.