You assist your client with tooth brushing by putting toothpaste on the toothbrush and guiding the client's hand. For which nursing diagnosis is this type of intervention made?

1. Bathing/hygiene self-care deficit
2. Disturbed sensory/perceptual
3. Activity intolerance
4. Impaired skin integrity


ANS: 1

Nursing

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The nurse is reviewing a patient's medication history and notes that the patient is taking the cholinergic blocker tolterodine (Detrol). Which is an indication for this medication?

a. Irritable bowel disease b. Induction of mydriasis c. Urge incontinence d. Reduction of secretions preoperatively

Nursing

The chief nursing officer has asked the staff development coordinator to facilitate the development of a clinical competency program for the facility

While making rounds on the units, the staff development coordinator overhears RN staff complaining that they feel it is insulting to be required to participate in a competency program. Which behavior by the staff development coordinator is most appropriate in this situation? a. Disregard staff concerns and continue with development of the program. b. Inform the nurses that this program is a requirement for JCAHO accreditation. c. Schedule a meeting with the chief nurse executive to apprise her of the situation. d. Facilitate a meeting so nurses can articulate their values and concerns about a competency program.

Nursing

Which of the following factors may lead to increased violence? (Select all that apply.)

a. Adequate social support b. Feelings of powerlessness c. Violence shown in the media d. Living in a crowded environment

Nursing

A nurse recalls that characteristics of upper motor neurons include:

a. directly innervating muscles. b. influencing and modifying spinal reflex arcs. c. cell bodies located in the gray matter of the spinal cord. d. dendritic processes extending out of the CNS.

Nursing