After assessing a patient with anorexia nervosa, a nurse writes the following nursing diagnosis: imbalanced nutrition, less than body requirements related to refusal to eat as evidenced by being 25% below body weight for height
The expected outcome should be listed as "Patient will: a. identify cognitive distortions about food, weight, and body shape.".
b. exhibit fewer signs of malnutrition within 2 weeks of hospitalization.".
c. be able to describe both the physical and emotional complications of the eating disorder.".
d. restore healthy eating patterns and normalize physiological parameters related to ideal weight.".
D
The outcome is a more comprehensive statement than short-term goals that contribute to eventual outcome attainment. The other options should be considered short-term goals.
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Veronica is sedated due to a severe head injury. Her mother doesn't understand the purpose of this treatment. The nurse explains that sedation decreases
A) agitation. B) pain sensations. C) response to uncomfortable stimuli such as endotracheal intubation and suctioning. D) All of the above are correct.
A patient in the acute phase of a CVA who has been speaking distinctly begins to speak indistinctly and only with great effort but still coherent. What should this nurse determine when assessing this patient?
a. Stroke in evolution with dysarthria b. Lacunar stroke with fluent aphasia c. Complete stroke with global aphasia d. Stroke in evolution with dyspraxia
When you speak with him alone in the room, he states it “would be better if he were not here.” What would you do next?
Adam is a very successful 15-year-old student and athlete. His mother brings him in today because he no longer studies, works out, or sees his friends. This has gone on for a month and a half. A) Tell him that he has a very promising career in anything he chooses and soon he will feel better. B) Tell him that he needs an antidepressant and it will take about 4 weeks to work. C) Speak with his mother about getting him together more with his friends. D) Assess his suicide risk.
Which .client in the gynecology clinic should the nurse assess first?
1. 31-year-old, reports increasing dyspareunia 2. 15-year-old, no menses for past 4 months 3. 22-year-old, using tampons, T = 102°F, P = 122, BP = 70/55 4. 18-year-old seeking information on contraception methods