Which of the following problem definitions is matched with an accurate example?
a. Difficulty: A nurse ignores a client's requests to stop his dialysis.
b. Dilemma: A nurse is scheduled to work over the weekend and she has a family outing to attend.
c. Paradox: A nurse is counseling a woman with breast cancer about terminating her pregnancy and receiving chemotherapy or completing the pregnancy and possibly not surviving.
d. Purposeful action: A nurse has been offered an exciting new position with a dra-matic increase in salary, but she would have to move out of state, away from her ailing parents.
C
A paradox is often an ethical issue for which there is no logical solution to the problem. In this case, there may not be a logical solution to the problem because the baby or mother may not sur-vive.
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A 12-year-old male patient diagnosed with hypogonadism will begin testosterone injections. What will the nurse include when teaching the family about this therapy?
a. Annual x-rays of the hands and wrists are necessary to monitor epiphyseal closure. b. Gynecomastia may occur and is a common side effect. c. Injections are given every 2 to 4 weeks for 3 to 4 years. d. Use of this drug may lead to prostate can-cer later in life.
The nurse is assessing a client with left-sided heart failure. What conditions does the nurse assess for? (Select all that apply.)
a. Pulmonary crackles b. Confusion, restlessness c. Pulmonary hypertension d. Dependent edema e. S3/S4 summation gallop f. Cough worsens at night
While taking the NCLEX-RN, CAT examination, a graduate encounters a question about a disease process that had not been covered in any class in nursing school. Which strategy would be best for the graduate to use in answering this question?
a. Look for a totally unfamiliar answer and select it because it probably relates to the unknown disease process. b. Select answer A and move on to the next question. c. Try to remember a question earlier in the examination that dealt with a similar situ-ation and apply that information to the current question. d. Select the answer that appears logical and involves general nursing care.
Describe the difference between nursing diagnosis and medical diagnosis. Explain why both diagnoses are necessary.
What will be an ideal response?