The nurse is determining diagnoses appropriate for a patient recovering from surgery. Which nursing diagnoses should the nurse identify as the highest priority for this patient?
a. Acute pain
b. Impaired mobility
c. Deficient knowledge
d. Impaired skin integrity
ANS: A
A. Using Maslow's hierarchy, pain is the highest priority nursing diagnosis for a postoperative patient. B. D. These diagnoses would be equally important after the patient's pain is addressed, because they focus on physiological needs. C. This diagnosis can be addressed at a later time once physiological needs have been met.
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When the nurse performs the initial assessment of an adolescent with depression, what is the most important question to ask?
a. "What is making you depressed?" b. "Have you ever thought about suicide?" c. "What could we do to make you happy?" d. "Would you like your friends to visit?"
The beginning nurse researcher has chosen to repeat a study done by another nurse, but has decided to use a different study instrument. Which statement is most accurate about this study?
1. This is a common form of study in nursing research. 2. It is not ethical to change a portion of a study that is being repeated. 3. This is a very good way for beginning researchers to gain experience. 4. This type of study is called a limited research design.
The nurse uses a bulb syringe to clear a newborn's mouth and nose immediately after delivery in order to:
A) provide a clear, patent airway. B) elicit the sucking reflex before feeding. C) stimulate the baby to begin to cry. D) prevent aspiration of harmful organisms.
A nurse is frustrated working with a patient who is from another culture. The patient does not seem to be motivated to learn to provide self-care. A more experienced nurse helps interpret this behavior by stating,
a. "Everyone has motivators; you have to find your patient's." b. "It's possible the patient doesn't understand what to do yet." c. "The patient's culture may include a dependent sick role." d. "Your patient is not ready to learn about self-care yet."