The charge nurse is reviewing the healthcare plans written by the unit's staff nurses. Which NANDA nursing diagnosis is most likely to be construed as culturally biased and possibly offensive?

1. Fear related to separation from support system during hospitalization
2. Spiritual Distress related to discrepancy between beliefs and prescribed treatment
3. Interrupted Family Processes related to a shift in family roles secondary to demands of illness
4. Noncompliance related to impaired verbal communication secondary to recent immigration from non–English-speaking area


4
Explanation:
1. This option seeks to explain how the culturally sensitive nurse can partner with the families more effectively.
2. This option seeks to explain how the culturally sensitive nurse can partner with the families more effectively.
3. This option seeks to explain how the culturally sensitive nurse can partner with the families more effectively.
4. The phrase "impaired verbal communication" might be offensive because speaking a different language is not equivalent to being impaired, and noncompliance does not stem from misunderstanding.

Nursing

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The nurse is caring for a patient with vascular dementia. Based on the neurobiology of this condition, what is the nurse's primary concern when caring for this patient?

1. Pain 2. Safety 3. Communication 4. Level of consciousness

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The nurse is caring for a patient with cancer of the liver. The patient has a percutaneous biliary drainage system. What assessments should the nurse record in the patient's chart?

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At 2:00 a.m. the night nurse gives a patient 600 mg of ibuprofen according to the standard dosage she has given other patients

When charting the medication the nurse discovers that this patient's PRN order for ibuprofen calls for administering 400 mg of the drug. What nursing action is indicated? 1. Just monitor the patient as the dose given is within normal limits. 2. Notify the physician immediately. 3. Report the error and complete an incident report. 4. Chart that 400 mg of ibuprofen was given for pain.

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