MC Which of the following is the best definition of nursing diagnosis?
A. Nursing diagnosis refers to a health problem or condition that nurses are legally licensed to treat.
B. Nursing diagnosis includes etiology and relates directly to the defining characteristics.
C. Nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.
D. Nursing diagnosis is derived from the assessment phase of the nursing process.
C
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Upon patient arrival to the intensive care unit after a coronary artery bypass graft, the immediate nursing assessments include
A) pain evaluation. B) ECG monitoring. C) neurological assessment. D) All of the above are correct.
While conducting passive range-of-motion exercises with a client, the nurse should do all of the following, EXCEPT:
a. start at the foot of the body and move to the head. b. rotate the head 1/4 turn from side to side and then flexed and extended. c. flex, extend, adduct, and abduct the arms. d. avoid exercises on a joint if the client complains of discomfort.
Which statement is correct regarding the use of ipecac?
a. Ipecac is the drug of choice when an unknown poison has been ingested. b. Ipecac is the safest agent to use when the patient is obtunded. c. When used, ipecac should be administered within 1 hour of the poisoning. d. Ipecac is useful when corrosive acids have been ingested.
A myriad of accessible and coordinated services are needed to maintain people in the community with chronic mental illness. Despite inadequate sources, advances have been made in the treatment of mental illness. These advances have been influenced by
1. The movement of clients out of mental institutions to the community 2. A better understanding of the neurobiology of mental illness 3. More interest in helping persons with mental illness 4. A change in the culture about what constitutes mental illness