A nurse documents: "Patient mute despite repeated efforts to elicit speech. No eye contact. Short attention span; less than 1 minute." Which nursing diagnosis should be considered?
a. Defensive coping
b. Risk for violence
c. Decisional conflict
d. Impaired verbal communication
D
The defining characteristics are more related to the nursing diagnosis of Impaired verbal communication than to the other nursing diagnoses.
You might also like to view...
A depressed patient repeatedly tells staff that he's evil and that his "insides are rotting" because God is punishing him. What would the priority nursing diagnosis for this patient be?
a. Spiritual distress b. Disturbed thought process c. Situational low self-esteem d. Ineffective health maintenance
A nurse is caring for a client who has to be prevented from scratching an open wound. The physician has ordered wrist restraints for the client. What should the nurse do when restraining the client's hands using soft wrist protective devices?
A) Bring both ends of the tie together and attach them to the side rails. B) Apply the padded portion of the device around the wrist. C) Attach both straps on the same side of the chair. D) Attach the restraint only to the wrist closest to the wound.
A client is to receive lithium therapy as part of the treatment plan for bipolar disorder. When reviewing the client's medication history, which agents would alert the nurse to the possibility that a decrease in the lithium dosage may be needed? Select al
A) Lisinopril B) Hydrochlorothiazide C) Indomethacin D) Caffeine E) Aspirin
The process by which DNA sequences are copied into ribonucleic acid (RNA) is which of the following?
A) Transcription B) Phenotyping C) Translation D) Allele formation