While planning care for a child who has excoriation disorder, which of the following would be the priority NANDA?
A) Hopelessness
B) Dysfunctional family processes
C) Ineffective role performance
D) Impaired skin integrity
Ans: D
The nursing diagnoses applied to patients with obsessive-compulsive disorder (OCD) can run the gamut from the primary diagnosis of Anxiety to other physiologic disturbances of the compulsion, such as Impaired Skin Integrity, which may result from continuous hand washing or picking at the skin.
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A nurse is providing discharge instructions to a Chinese client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. Which nursing action is appropriate?
A) Continue with the instructions, verifying client understanding. B) Walk around the client so that the nurse constantly faces the client. C) Give the client a dietary booklet and return later to continue with the instructions. D) Tell the client about the importance of the instructions for the maintenance of health care.
The primary function of the parish nurse is that of:
1. Personal health counseling 2. Facilitator 3. Liaison 4. Advocate
A client is diagnosed with primary hypothyroidism. Which laboratory tests were used to aid in this diagnosis?
Standard Text: Select all that apply. 1. Serum T4 level 2. TSH level 3. Serum calcium 4. Serum potassium 5. Serum iodine level
The nurse has planned an appointment with Nancy Ashiihi, a 25-year-old Navajo Indian client, four times. Once she was 2 hours late, twice she was 2 hours early, and once she did not come at all
The most important approach for a culturally competent nurse to use in scheduling appointments is to: A. Be more considerate of the client's personal schedule when selecting the time for an appointment. B. Assess carefully for the client's social relationships and suggest the person closest to her come with her to the appointment. C. Work with the client to understand the importance of keeping the appointment. D. Give the client a written card with the time and date of the appointment.