Which nursing diagnosis has the highest priority for a patient with impaired tactile perception?
a. Self-Care Deficit: Dressing and Grooming
b. Impaired Adjustment
c. Risk for Injury
d. Activity Intolerance
ANS: C
You might also like to view...
Which type of cerebrovascular accident has the slowest rate of recovery and the highest probability of causing extensive neurological deficits?
a. Reversible ischemic neurological deficit (RIND) b. Cerebral aneurysm c. Subarachnoid hemorrhage (SAH) d. Thrombotic stroke
An 85-year-old male who lives with his daughter and her family has become withdrawn, with a decreasing appetite and lack of interest in his usual hobbies
For health-promotion planning, the nurse should recognize that focus should be placed on moving him toward the positive aspect of which one of Erikson's developmental stages? a. Autonomy versus doubt b. Body transcendence versus body preoccupation c. Ego integrity versus despair d. Generativity versus stagnation
What data would be collected during the identifying information portion of the health interview? (Select all that apply.)
a. Ethnicity b. Previous or current occupation c. Educational background d. Perception of general health e. Completion of advanced directives
The nurse can assist the patient in becoming more self-aware by using which technique?
a. Setting up an appointment to allow the patient to vent b. Allowing the patient to openly explore thoughts and feelings c. Assisting the patient to physically punch a pillow when upset d. Providing materials for the patient to write complaint letters