The Outcome Present-State Testing Model is a dynamic, systematic, clinical reasoning process that emphasizes outcomes of care. There are several steps in the process. The family story step provides:
1. Essential information about individual family members and the family as a whole
2. Meaningful clusters of evidence
3. Present state and desired outcomes
4. Clinical judgment
1
The family story provides essential information about the individual family members and the family as a whole. It involves the data collection process.
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A patient undergoing fertility treatments for the past 9 months learns that despite in vitro fertilization she still is not pregnant. This patient is at risk for experiencing a crisis in which component of self-concept?
a. Body image b. Self-esteem c. Personal identity d. Role performance
A cervical polyp usually appears as a:
a. grainy area at the ectocervical junction. b. bright red, soft protrusion from the endo-cervical canal. c. transverse or stellate scar. d. hard granular surface at or near the os.
How much weight should this patient gain during pregnancy?
A 32-year-old attorney comes to your office for her second prenatal visit. She has had two previous pregnancies with uneventful prenatal care and vaginal deliveries. Her only problem was that with each pregnancy she gained 50 lbs (23 kg) and had difficulty losing the weight afterward. She has no complaints today. Looking at her chart, you see she is currently 10 weeks pregnant and that her prenatal weight was 130 lbs (59 kg). Her weight today is 134 lbs (60.9 kg). Her height is 5'4”, giving her a BMI of 22. Her blood pressure, pulse, and urine tests are unremarkable. The fetal heart tone is difficult to find but is located and is 150. While you give her first trimester education, you tell her how much weight you expect her to gain. A) Less than 15 pounds (less than 7 kg) B) 15 to 25 pounds (7 to 11.5 kg) C) 25 to 35 pounds (11.5 to 16 kg) D) 30 to 40 pounds (12.5 to 18 kg)
The nurse is working with a client who is at risk for self-directed violence. The nurse knows the priority intervention is to:
A) Check the client's whereabouts and safety every 10-15 minutes. B) Explain the negative consequences of suicide. C) Remain with the client at all times until the client can be moved to a safe environment. D) Develop a no-harm contract.