Which of the following statements accurately describe the legal responsibility of the nurse making a diagnosis for a patient?
A) The nurse may make a diagnosis, but the physician is responsible for making sure it is appropriate for the patient.
B) The nurse practitioner is responsible for making all nursing diagnoses and determining if they are appropriate for the patient.
C) The nurse must decide if he or she is qualified to make a nursing diagnosis and will accept responsibility for treating it.
D) The healthcare facility directs the nursing diagnosis in order to receive payment for services performed.
C
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The nurse is caring for a client with cyanide poisoning. The nurse is most correct to assess which systems where manifestation of the poisoning primarily occurs?
A) Cardiovascular and respiratory system B) Gastrointestinal and musculoskeletal system C) Cardiovascular and neurological system D) Sensory and respiratory system
During the health history, the mother of a 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. Which response by the nurse would be most appropriate?
A) "I can tell you more after his physical." B) "Fill out this questionnaire first." C) "Tell me what concerns you." D) "All mothers worry, but he seems well."
During an assessment, a client with a personality disorder reports, "Wait now, darling. I'm getting something . . . yes . . . right . . . a vibe. . . . I see that you are a very deep person . . . you've been hurt"
She reports getting messages from the "spirit world." Which type of personality disorder should a psychiatric nurse anticipate? A) Borderline B) Histrionic C) Schizoid D) Schizotypal
A teen is seen at the clinic for problems with a body piercing that was done several weeks ago. When assessing the site, which is swollen, red, and painful, the nurse should:
a. Tell the teen that body piercing is wrong b. Ask the teen why he or she chose to have the piercing c. Tell the teen that he or she should have gone to a professional d. Ask the teen where the piercing was done