The nurse is evaluating outcomes for the patient with the nursing diagnosis of Insomnia. During this process, the nurse recognizes that
a. The patient is the best evaluator of sleep.
b. Interventions will need to be adjusted.
c. Medical conditions will not influence outcomes.
d. Observations of the patient provide needed data.
ANS: A
The patient is the source for evaluating outcomes. The patient is the only one who knows whether sleep problems have improved and what has been successful. Interventions may or may not need to be adjusted. Observations do provide needed data, but in the case of insomnia, the patient is the source for evaluating the restfulness of sleep. Sometimes, the nurse has to work with the patient to redefine sleep expectations associated with medical conditions.
You might also like to view...
Children in preschool often learn from pretending, role-playing, and exploring the identities of adults in various positions, such as nurses, doctors, teachers, police, firefighters, and others who serve as role models
A nurse identifies this type of behavior is an example of 1. Cognitive development. 2. Moral development. 3. Psychosocial development. 4. Physical development.
A parent expressed the concern that some vaccines contain live microbes. Which statements should the nurse include in the discussion with the parent?
A. "The microbes are live but are weakened." B. "The microbes are not able to cause the disease." C. "The measles, mumps, and rubella vaccine is an example." D. "The microbes in the vaccines are killed." E. "The microbes are only found in toxoid vaccines."
The dehydrated patient is receiving a hypertonic solution. What assessments must be done to avoid risk factors of these solutions
A. Lung sounds B. Bowel sounds C. Blood pressure D. Serum sodium level E. Serum potassium level
The nurse teaches clients with rheumatoid arthritis about the side effects of nonsteroidal anti-inflammatory drugs (NSAIDs). The nurse evaluates that education has been effective when the clients make which statement?
1. "Blood tests may be necessary to monitor for side effects of this drug." 2. "We must be careful about falling with this medication because it can cause drowsiness." 3. "We must take the medicine just as the doctor said to take it." 4. "We must be sure and keep all scheduled doctors' appointments."