Match the assessment model with the intended use for that model
1) Categorizes nursing diagnoses, client outcomes, and nursing interventions
2) Assesses the client's ability to achieve balance (homeostasis)
3) Identifies deficits in activities of daily living that require nursing assistance
4) Formulates a model for nursing assessment and diagnosis but is not a theory
5) Categorizes nursing diagnoses
6) Provides a model for health assessment based on systems
____ 11. Gordon's Functional Health Patterns
____ 12. NANDA Nursing Diagnosis Taxonomy II
____ 13. Taxonomy of Nursing Practice
____ 14. Roy Adaptation Model
____ 15. Orem's Self-Care Model
11. ANS: 4
12. ANS: 5
13. ANS: 1
14. ANS: 2
15. ANS: 3
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A client recently diagnosed with systemic lupus erythematosus (SLE) is in the clinic for a follow-up visit. The nurse evaluates that the client practices good self-care when the client makes which statement?
a. "I always wear long sleeves, pants, and a hat when outdoors." b. "I try not to use cosmetics that contain any type of sunblock." c. "Since I tend to sweat a lot, I use a lot of baby powder." d. "Since I can't be exposed to the sun, I have been using a tanning bed."
A nurse is assessing a client who had a myocardial infarction. Upon auscultating heart sounds, the nurse hears the following sound. What action by the nurse is most appropriate? (Click the media button to hear the audio clip.)
a. Assess for further chest pain. b. Call the Rapid Response Team. c. Have the client sit upright. d. Listen to the client's lung sounds.
A client is to receive a medication at 9:00 A.M. To prevent a medication error by administering at the incorrect time, the nurse can administer the medication anytime between:
a. 8:00 and 10:00 A.M. c. 8:30 and 9:30 A.M. b. 8:30 and 9:00 A.M. d. 8:45 and 9:15 A.M.
The nurse is preparing a teaching plan for a 6-year-old boy with diabetes mellitus and his family. What is the priority teaching goal?
A) To develop management and decision-making skills B) To educate the parents about diabetes mellitus type 1 C) To develop a nutritionally sound, 30-day meal plan D) To teach the boy how to administer his own insulin