Assumption 7 states: "Public health nursing utilizes the nursing process at all levels of practice." What does this imply?
1. The nursing process includes specific goals for community health nurses.
2. The nursing diagnosis part of the nursing process is not applicable for public health.
3. The nursing process can be used at the community, systems, and individual/family levels of practice.
4. The nursing process is used mainly at the individual and family level of practice.
ANS: 3
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The nurse is reviewing the charts from a multicultural health clinic. The nurse needs to know that for three cultures, the listed first name is in fact the family name, while the individual's given name is placed last
The three cultures with this variation are: 1. French, German, and Irish. 2. Brazilian, English, and Jewish. 3. Canadian, Egyptian, and Haitian. 4. Cambodian, Filipino, and Korean.
Qualifiers are added to some NANDA statements to
1. Explain the cause of the nursing diagnosis 2. Give additional meaning to the diagnostic statement 3. Connect to the medical diagnosis 4. Identify collaborative problems 5.
The nurse is going to evaluate a client's status. This will include which of the following?
a. Success of interventions to address a client's health problem b. Turning and repositioning a client c. Assist the client to a sitting position d. Providing medications as prescribed
The nurse determines that a client diagnosed with pericarditis is demonstrating the classic signs of the Beck triad. What are the signs of the Beck triad? (Select all that apply.)
1. Fever 2. Dyspnea 3. Muffled heart sounds 4. Elevated jugular vein pressure 5. Hypotension 6. Abdominal pain