Prior to identifying accurate nursing diagnoses, what action must be taken by the nurse?
a. Reading the patient's history
b. Setting realistic, measurable goals
c. Comparing evidence-based practices
d. Clustering related patient data
d. Clustering related patient data
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An elderly client has presented to the clinic with multiple physical complaints. Biologic assessment information must be obtained before any physical illnesses can be ruled out
Which of the following objective measurements would be most helpful? 1. Electroencephalogram (EEG) 2. Standard diagnostic laboratory analyses 3. Lumbar puncture 4. Drug toxicology screening
A client diagnosed with major depressive disorder asks, "What part of my brain controls my emotions?" Which nursing response is appropriate?
1. "The occipital lobe governs perceptions, judging them as positive or negative."2. "The parietal lobe has been linked to depression."3. "The medulla regulates key biological and psychological activities."4. "The limbic system is largely responsible for one's emotional state."
The registered nurse should modify the plan of care for a client when:
a. the outcomes are partially met. b. the goal has been met. c. the data indicate a lack of progress toward goal achievement. d. data has been omitted in the assessment phase.
The nurse is assessing victims of a building collapse. Ambulances are nearby and a shelter has been set up with carts, chairs, tables, and refreshments for the victims. The nurse is most likely working within which decontamination zone?
1. cold 2. warm 3. control 4. hot