What type of diagnosis is formulated by gathering physical, psychological, social, emotional and spiritual data?
a. medical diagnosis c. subjective diagnosis
b. objective diagnosis d. nursing diagnosis
D
A nursing diagnosis is formulated by gathering physical, psychological, social, emotional, and spiritual data. Nursing diagnoses may be actual or potential client problems. Medical diagnoses can only be made by a medical doctor, or appropriate licensed individual, and is based on a specific pathological disease process being experienced by the client.
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An 83-year-old patient with type 2 diabetes presents to the emergency room with a blood glucose level of 623 mg/dL
The patient's daughter reports that the patient recently had a gastrointestinal virus and has been confused for the last 3 hours. The diagnosis of hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is made. The nurse gives priority to which nursing action? A) Administration of antihypertensive medications B) Administering sodium bicarbonate intravenously for low bicarbonate levels C) Reversing acidosis by administering insulin D) Fluid and electrolyte replacement
A patient states, "The harder I try to get along with my son, the more I feel he just wants to be left alone," and the nurse responds, "I guess parents have to expect these problems as children get older."
The nurse's response is an example of a communication breakdown known as a. failing to see the uniqueness of the individual. b. failing to recognize levels of meaning. c. using value statements d. failing to clarify unclear messages.
A school nurse is working with teachers in helping them address the developmental needs of grade school students, according to Erikson's theory of industry versus inferiority. Which activities should the nurse suggest?
1. Providing time for running and playing sports, such as basketball, to increase gross motor skills 2. Allowing "pretend" time during their classes, such as for dress-up or role-playing activities 3. Presenting diversity in culture and practices as part of classroom study 4. Helping them develop skills needed in the adult world, such as allowance budgeting
The nurse is caring for the client with cirrhosis. As part of dietary teaching to minimize the effects of the disorder, the nurse teaches the client about foods that are high in thiamine
The nurse determines that the client has the best understanding of the material if the client states to increase intake of which of the following? 1. Pork 2. Milk 3. Chicken 4. Broccoli