An adolescent with cystic fibrosis is intubated with an endotracheal tube and has been told by the parents that survival may not be likely. The most appropriate nursing diagnosis is which of the following?
1. Potential for Imbalanced Nutrition, More Than Body Requirements related to inactivity
2. Anxiety related to leaving chores undone at home
3. Potential for Fear of Future Pain related to medical procedures
4. Powerlessness related to inability to speak to or communicate with friends
4. Powerlessness related to inability to speak to or communicate with friends
Rationale:
The adolescent values communication with peers and may feel frustrated that he cannot speak to them while intubated. The adolescent is present, not future, oriented and is unlikely to worry about household chores or future unknown procedures. The adolescent with cystic fibrosis is likely to be underweight and is unlikely to take in more calories than needed while intubated.
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Which of the following best describes why it is so difficult to change the paradigm of health care from disease orientation to promoting health orientation?
a. The belief exists that those without insurance could obtain insurance if they worked hard enough. b. People find it difficult to agree on what the ideal paradigm should be. c. People realize the media have exaggerated the problems that result from lack of insurance. d. Serious reallocation of resources would have to occur.
A patient with personality disorder seemed intelligent to the nurse. He said all the right things to please the nurse but often failed to follow through. One evening he was brought back late from a pass, acutely intoxicated
The nurse seemed dismayed and remarked, "I thought he was making such good progress.". Which phenomena are likely illustrated in the nurse's response? Select all that apply. a. Successful manipulation by the patient b. Naiveté on the part of the nurse herself c. Guilt for having supported the patient's pass d. Failure by the nurse to remain objective e. An incompletely formed therapeutic relationship f. Honest disappointment that the patient regressed
What is the name of the initiative of organizations that buy health care and are working to improve the safety, quality, and affordability of health care for Americans?
a. Physician Quality Reporting Initiative b. Home Health Compare c. The Leapfrog Group d. Hospital Consumer Assessment of Healthcare Providers and Systems
When a person quickly assumes that others are blaming or confronting them, this is called:
a. denial c. passive-aggressive behavior b. defensiveness d. lack of trust