A client with severe hearing loss has the nursing diagnosis: Ineffective Coping related to recent hearing loss. The nurse would assess that goals for this diagnosis have been met when the client (Select all that apply)
a. engages in more activities within the community.
b. is willing to role-play informing others about the hearing loss.
c. self-refers to a university hospital audiology clinic.
d. stores the new hearing aid properly when not in use.
B, C
Goals for the diagnosis Ineffective Coping include taking the initiative to inform others of the hearing problem and enlisting their help in communication; not feeling embarrassed, frustrated, or wanting to withdraw socially because of feelings of worthlessness; not blaming others for failure to communicate; and not avoiding situations that impair hearing. Finding and using resources to help deal with the hearing loss also demonstrate that goals have been met. Engaging more in social events relates to the nursing diagnosis Impaired Social Interaction. Proper handling of equipment relates to Deficient Knowledge.
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A member of the client's family tells the nurse that they don't understand the choice of electroconvulsive therapy (ECT) for their mother's depression
The family member states they are worried about the damage her brain will incur from the grand mal seizure. What will the nurse teach the family members about ECT? 1. Grand mal seizures are not life threatening. 2. They can withdraw consent at any time. 3. ECT is a safe and effective treatment option for depression. 4. The induced seizure lasts less than a minute.
Extensive diagnostic testing has resulted in a patient's diagnosis of a benign brain tumor. When providing care for this patient, the nurse should be cognizant of which of the following characteristics of benign brain tumors?
A) Benign brain tumors constitute a risk factor for possible metastasis. B) Benign brain tumors can slowly grow into an area of vital brain function. C) Benign brain tumors have no physiological effect but should be closely monitored. D) Benign brain tumors typically become malignant within 1 to 2 years.
The management team of a large hospital is attempting to identify the specific cost of providing nursing services. This process is known as ____
a. Costing out services b. Fee-for-service care provision c. Priority nursing management d. Quality versus cost balance
A client with schizophrenia has made the comment to the nurse, "My family's life would be a whole lot simpler if I was dead and gone." When responding to this client's allusion to suicide, what principle should the nurse enact?
A) Take every threat of suicide seriously. B) Counter every threat of suicide with an encouraging response. C) Respond to mentions of suicide with sympathy. D) View references to suicide as a symptom of disease rather than a threat to health.