Which of the following describes the difference between a medical diagnosis and a nursing diagnosis?
1. use of diagnostic reasoning
2. Nursing diagnoses focus on human responses to health problems.
3. Medical diagnoses focus on human responses to health problems.
4. Nursing diagnoses focus on assessment, identification, and labeling of the disease state.
ANS: 2
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A nurse is assessing a patient for risk factors that increase the chances of developing oral cancer. Which information from this patient's history indicates a risk factor?
a. Alcohol consumption b. Chewing gum c. Environmental pollution d. Consumption of a high-fat diet
During palpation of a client's testes, the nurse notes a small, hard lump on the anterior aspect of one testis. The nurse's most appropriate action would be to
a. do nothing, since this is a normal finding. b. palpate the groin for an associated hernia. c. perform transillumination of the scrotum. d. recommend the client take antibiotics.
A patient with myocardial infarction is treated with intravenous morphine sulfate for chest pain. Which of the following actions by the nurse has the highest priority when administering this medication?
1. assess for medication infiltration into tissues 2. determine the patient's sedation level 3. check breath sounds every 15 minutes 4. observe for signs of opioid addiction
What possible approaches should the nurse use to provide sensitive, holistic nursing care for the mother who is relinquishing her newborn? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Allow the mother minimal control over the infant. 2. Use active listening strategies to determine the patient's needs. 3. Provide only physical care in the early postpartum period. 4. Demonstrate empathy, concern, and compassion. 5. Provide nonjudgmental support and personalized care.