A client is admitted to the psychiatric unit of a local hospital. During the nursing assessment, the nurse finds the client is poorly groomed, wearing dirty clothes, tearful, and reports weight loss with poor appetite
The nurse formulates a nursing diagnosis of Depressed Mood. What are the most appropriate nursing outcomes for this client? Select all that apply.
a. Eats a well-balanced diet
b. Depressed mood resolves by discharge
c. Bathes, washes, and maintains grooming and hygiene
d. Develops a spiritual belief system or engages in a religious affiliation
A, C
Based on the description of this client in this item, the nurse has developed the nursing diagnosis of Depressed Mood. Appropriate outcomes include eating a well-balanced meal and maintaining grooming and hygiene; both of these may be neglected when a client is depressed. The nurse can discuss and explore spirituality with this client; however, this outcome may or may not contribute to resolution of a problem of Depressed Mood. Additionally, an appropriate outcome may be that the client reports feeling less sad and depressed; however, it may not be realistic or attainable that this client's depressed mood will be resolved by discharge.
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According to the differentiated nursing practice philosophy, if a high school graduate wants to become a nurse to provide care to clients in the community, the level of nursing education needed would be a(n):
a. associate degree. b. diploma. c. bachelor's degree in nursing. d. master's degree in nursing.
The nurse is preparing a report on the number of births by three service providers at the facility (certified nurse-midwives, family practitioners, and obstetricians). This is an example of:
1. Inferential statistics. 2. Descriptive statistics. 3. Evidence-based practice. 4. Secondary use of data.
A patient has inadequate stroke volume related to decreased preload. The nurse anticipates
a. Placing the patient on oxygen monitoring. b. Administering vasodilators. c. Verifying that the blood consent form has been signed. d. Preparing the patient for dialysis.