The nursing assessment on a 78-year-old woman reveals shuffling gait, decreased balance, and instability. On the basis of the patient's data, which one of the following nursing diagnoses indicates an understanding of the assessment findings?
A) Activity intolerance
B) Impaired bed mobility
C) Acute pain
D) Risk for falls
Answer: D) Risk for falls
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A patient is dismissed from the hospital and is receiving nursing care at home to help in the recovery from a serious illness and operation. The visiting nurse notes that the family is in a state of disarray and members are disorganized and not
communicating. The patient is trying to direct everyone's actions. The nurse calls a family meeting. What action by the nurse is best? A. Encourage family members to make "to do" lists and assign chores. B. Explain that changes in one person require changes in the others. C. Make a referral to a counselor or mental health nurse practitioner. D. Tell the family members that for the patient to recover, they have to assume his or her role.
Which of the following is an example of Henderson's definition of nursing?
a. Performing a hearing screening in preschool children b. Interacting with depressed men to learn new strategies for reducing their symptoms c. Setting goals for weight loss with a patient d. Teaching a person with frequent constipation about high-fiber foods
The role of the psychiatric liaison nurse was first developed to assist which of the following groups?
a. clients with mental illness b. providers in medical settings c. clients with physical illness d. providers in psychiatric settings
A patient with PKD reports a severe headache and is at risk for a berry aneurysm. What is the nurse's priority action?
a. Assess the pain and give a prn pain medication b. Reassure the patient that this is an expected aspect of the disease c. Assess for neurologic changes and check vital signs d. Monitor for hematuria and decreased urinary output