A patient complains of insomnia during his stay in the hospital. Which nursing diagnosis would be a top priority for this patient?
a. Anxiety related to hospitalization
b. Ineffective Coping related to hospitalization
c. Denial related to hospitalization
d. High Risk for Insomnia related to hospitalization
ANS: A
The information about the patient indicates that anxiety is an appropriate nursing diagnosis. The patient's data do not support Defensive Coping, Ineffective Denial, or Risk-Prone Health Behavior as problems for this patient.
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What is necessary when implementing care multidisciplinary action plans (MAPs)?
A) Caregivers alter the plan as they deem necessary B) Variances be indicated for patient deviations C) Time frames for implementation be left open D) Critical paths not be considered in care planning
A client with hemophilia A is being prepared to receive a transfusion of clotting factors and expresses concern about contracting HIV from the transfusion. The best explanation the nurse can provide is:
A) "That certainly is always a concern. You can refuse the treatment if you prefer." B) "The blood that is donated is screened so you should not worry." C) "Rigorous screening of donors and treatment of donated blood has significantly reduced the risk." D) "You won't be receiving whole blood so you shouldn't worry about HIV contamination."
What information does the faculty member teach students about Medicare?
a. Covers anyone with end stage renal dis-ease b. Part A covers some prescription costs c. Part B covers inpatient hospital costs d. Part D eliminates the drug "donut hole"
Steps in the nursing process include:
a. assessment b. planning c. implementation d. evaluation e. all of the above