Your client is a 55-year-old woman who began sleeping in a separate bedroom from her husband because sexual intercourse has become too painful
She is experiencing menopause and has noticed physical changes in her body. Which of the following nursing diagnoses would be most appropriate?
1. Ineffective sexuality patterns
2. Sexual dysfunction
3. Ineffective individual coping
4. Hopelessness
ANS: 2
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The nurse working the telephone suicide crisis line receives a call from a man who tells her he lives alone in a home several miles from his nearest neighbors. He has been considering suicide for 2 months
He has had several drinks and has loaded his shotgun, with which he plans to shoot himself in the chest. How should the nurse assess the lethality of this plan? a. No risk b. A low level of lethality c. A moderate level of lethality d. A high level of lethality
A nurse is making a presentation at her facility in order to promote the Tidal Model of care. What does the nurse describe as some of the commitments made between patients and providers in this model? Select all that apply
1. Provide transparency. 2. Become the apprentice. 3. Develop genuine curiosity. 4. Teach appropriate language. 5. Determine the next steps in recovery.
The nurse makes a mistake while documenting in the patient's health record. Which action should the nurse take?
1) Use an opaque white fluid to cover the documentation error. 2) Completely cover the documentation error with black ink. 3) Draw a line through the error and initial the change. 4) Use correction tape to make the documentation correct.
The nurse is preparing a client in her second trimester for a three-dimensional ultrasound examination. Which statement indicates that teaching has been effective?
1. "If the ultrasound is normal, it means my baby has no abnormalities." 2. "The nuchal translucency measurement will diagnose Down syndrome." 3. "I might be able to see who the baby looks like with the ultrasound." 4. "Measuring the length of my cervix will determine whether I will deliver early."