A client with borderline personality disorder tells the nurse, "I'm afraid to get on a train because we'll probably get into a wreck." Which response by the nurse would be most appropriate?
A) "Have you had a bad experience riding a train?"
B) "What are the chances of that actually happening?"
C) "Now you know that won't happen."
D) "Have you thought about going by automobile?"
A, C, D, E
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The nurse follows which of the following guidelines for writing expected outcomes: Standard Text: Select all that apply
1. Ensure that the expected outcomes are compatible with therapies of other professionals 2. Combining goals with multiple nursing diagnoses saves time 3. Avoid statements that start with permit or enable 4. Use observable, measurable terms 5. Determine goals based on nurses' values and concerns about client health concerns
Excessively dry skin can lead to cracks and openings in the integumentary system. Based on this, what is the most applicable nursing diagnosis for a patient with excessively dry skin?
a. Imbalanced Nutrition: Less than body requirements b. Deficient fluid volume c. Risk for infection d. Acute pain
The nurse who provides care under the auspices of a group home is planning the care of a 12-year-old boy who has been referred to the home by the court system
Knowing that the boy has a documented history of conduct disorder, which of the following nursing diagnoses should the nurse prioritize during the boy's transition into the group home? A) Impaired Social Interaction due to withdrawal B) Impaired Social Interaction due to alienation from others secondary to aggressive acts C) Risk for Injury related to poor safety awareness D) Hopelessness related to separation from family
A client who is prone to motion sickness is going on a fishing trip on a boat and has been prescribed an antiemetic. What action should the nurse recommend?