A premenopausal client tells the nurse that she is not looking forward to menopause because it means her life is over. Which nursing diagnosis would be appropriate for the client at this time?
A) Ineffective Sexuality Pattern
B) Deficient Knowledge
C) Situational Low Self-Esteem
D) Disturbed Body Image
Answer: C
The client believes that once menopause is reached, her life is over. The most appropriate nursing diagnosis for the client at this time would be Situational Low Self-Esteem because the client could have inadequate coping skills to aid with the aging process. There is no information to support the diagnosis of Ineffective Sexuality Pattern. The client may or may not have deficient knowledge or a disturbed body image.
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Physiologic anemia often occurs during pregnancy as a result of
a. Inadequate intake of iron b. Dilution of hemoglobin concentration c. The fetus establishing iron stores d. Decreased production of erythrocytes
The nurse on a pediatric unit is writing guidelines for age-specific preparation of children for procedures based on developmental characteristics. What guideline is accurate?
a. Inform toddlers about an upcoming procedure 2 hours before the procedure is to be performed. b. Inform school-age children about an upcoming procedure immediately before the procedure is scheduled to occur. c. Discourage parent presence during procedures on infants and toddlers. d. Use simple diagrams of anatomy and physiology to explain a procedure to a school-age child.
A postpartum mother is concerned that her newborn has not had a stool since birth. The newborn is 18 hours old. The nurse's best response is:
1. "I will call your pediatrician immediately." 2. "Passage of the first stool within 48 hours is normal." 3. "Your newborn might not have a stool until the third day." 4. "Your newborn must be dehydrated."
In Abraham Maslow's Hierarchy of Needs, which of the following represents a basic need as opposed to a growth need?
a. belonging b. esteem c. safety d. love