Which expected client outcome should a nurse identify as being correctly formulated?
A. Client will feel happier by discharge.
B. Client will demonstrate two relaxation techniques.
C. Client will verbalize triggers to anger by end of session.
D. Client will initiate interaction with one peer during free time within 2 days.
D
The statement "Client will initiate interaction with one peer during free time within 2 days" is an example of a correctly formulated expected outcome. Outcomes should be measurable, realistic, client-focused goals that include a time frame. Appropriate nursing interventions are guided by client outcomes.
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A nurse notes that when an infant is startled, she looks at her mother. What conclusion can the nurse make about this infant's development?
A. The child is slow to adapt and is distressed over small changes. B. The developmental needs of the child are not being met. C. The infant can develop other relationships because he is secure. D. The infant has an unstable home environment and is insecure.
Which of the following best describes the goal of assertiveness?
a. Offering responses that contain "you" statements b. Indirect communication c. Standing up for one's personal rights d. Ignoring the rights of others
The nurse planning care for a client who has been hospitalized for two weeks selects the nursing diagnosis Risk for Disuse Syndrome. While assisting the client with a bath, the nurse plans full range of motion in all the client's joints
The activity that would best support range of motion in the hand and arm is to: 1. Give the client a washcloth to wash her face. 2. Move the wash basin farther toward the foot of the bed so the client must reach. 3. Have the client brush her own hair and teeth. 4. Move each of the client's hand and arm joints through passive range of motion.
Place these methods of communicating with a non-English speaking client in order of their desirability and usefulness.1. Adult family member interprets2. Healthcare agency interpreter is present3. The nurse uses drawings and body language to communicate4. Child relative interprets5. No interpretation is attempted
Fill in the blank(s) with the appropriate word(s).