When a client who has a paraphilic disorder failed to help develop his plan of care, the nurse identified the nursing diagnosis noncompliance. The client stated, "Why should I help you?
You're the one who thinks there's something wrong with me." What is the etiology statement the nurse will use to complete the diagnosis?
1. Anger at being hospitalized
2. Embarrassment about his behavior
3. Fear of failing in treatment
4. Failure to recognize that a problem exists
ANS: 4
The client's statement makes it clear that he does not see the existence of a problem. 1. This may or may not be true. There are insufficient data to make the determination. 2. With the client's defensive stance, it is unlikely that he is embarrassed. 3. There are no data to support this.
You might also like to view...
During an assessment, the nurse has elevated a patient's legs 12 inches off the table and has had him wag his feet to drain off venous blood. After helping him sit up and dangle his legs over the side of the table,
the nurse should expect that a normal finding at this point would be: a. Significant elevational pallor. b. Venous filling within 15 seconds. c. No change in the coloration of the skin. d. Color returning to the feet within 20 seconds of assuming a sitting position.
A major cause of health-related problems is the increase in the incidence of chronic conditions. This is the case not only in developed countries like the United States but also in developing countries
What factor has contributed to the increased incidence of chronic diseases in developing countries? A) Developing countries are experiencing an increase in average life span. B) Increasing amounts of health research are taking place in developing countries. C) Developing countries lack the health infrastructure to manage illness. D) Developing countries are simultaneously coping with emerging infectious diseases.
A friend tells you that she is going to use a home pregnancy test to determine whether she is pregnant. Which of the following precautions would you give her?
A) Use a diluted urine specimen. B) Wait until after two missed menstrual periods. C) Arrange for prenatal care if the test is positive. D) Refrain from eating for 4 hours before testing.
The most effective way for the nurse to administer pain medication to a client who is experiencing severe pain related to metastatic liver cancer is to
a. administer medication only when other methods of pain relief are ineffective. b. dispense pain medications on a regular basis. c. give only intravenous pain medications. d. respond promptly to as-needed (prn) pain requests.