A nurse interviews a pregnant teenager and documents her answers on the client record. At the same time, the nurse responds to the client's concerns and makes a referral for counseling and maternity care
This scenario is an example of which of the descriptors of the nursing process?
A) Systematic
B) Dynamic
C) Outcome oriented
D) Universally applicable
Ans: B
Although the nursing process is presented as an orderly progression of steps, in reality there is great interaction and overlapping among the five steps. No one step in the nursing process is a one-time phenomenon; each step flows into the next step. In some nursing situations, all five stages occur almost simultaneously.
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The client has hallucinations, delusions, and feelings of paranoia. She lacks judgment, behaves impulsively, and shows little insight. Her behaviors are often inappropriate, ritual-istic, or repetitive. She is diagnosed as
1. anxious. 2. suicidal. 3. depressed. 4. psychotic.
When conducting a class on sexuality with teenagers, the nurse includes that sexuality is which of the following?
A) External appearance of one's genitalia as male or female B) Male or female internal organ structure and function C) How one experiences maleness or femaleness physically, emotionally, and mentally D) The pleasure experienced during sexual activity
The most serious complication of osteoporosis is
1. Activity limitation and disability. 2. Depression. 3. Hip fracture. 4. Increased risk of pulmonary disorders related to rib fractures and kyphosis. 5. Spinal compression.
A patient with acute ear pain and drainage comes into the community clinic. Which diagnostic tests should the nurse prepare to collect prior to beginning treatment for this patient? (Select all that apply.)
a. Biopsy b. Audiometric testing c. Complete blood count d. Rinne and Weber tests e. Culture of ear discharge