The nursing diagnosis of Powerlessness related to impaired problem solving has been established for a patient seeking crisis counseling. An appropriate outcome for this nursing diagnosis would be that the patient will:
a. agree to sign a no-suicide contract within 30 minutes.
b. resume meeting pre-crisis role expectations within 36 hours.
c. state he feels less anxious within 4 hours of the interview.
d. describe two possible solutions during the first interview.
D
Determining possible solutions to the problem is the only outcome that addresses the etiology statement of the nursing diagnosis. The diagnosis does not suggest a risk for self-directed violence, and it would be unrealistic to expect such a quick return to previous functioning in a crisis situation. Reducing anxiety is unrelated to the specified nursing diagnosis.
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After teaching a client who is prescribed a long-acting beta2 agonist medication, a nurse assesses the client's understanding. Which statement indicates the client comprehends the teaching?
a. "I will carry this medication with me at all times in case I need it." b. "I will take this medication when I start to experience an asthma attack." c. "I will take this medication every morning to help prevent an acute attack." d. "I will be weaned off this medication when I no longer need it."
The nursing diagnosis established for a client with fluctuating levels of consciousness, disturbed
orientation, and visual and tactile hallucinations that should be given priority is a. bathing/hygiene self-care deficit related to altered cerebral function, as evidenced by confusion and inability to perform personal hygiene tasks. b. risk for injury related to altered cerebral function, as evidenced by sensory perceptual alterations and unstable gait. c. disturbed thought processes related to altered cerebral function resulting from medication intoxication, as evidenced by confusion, disorientation, and hallucinations. d. fear related to sensory perceptual alterations, as evidenced by hiding from hallucinated dog and wanting nurse to remove hallucinated bugs from her legs.
The nurse is measuring the occurrence of chronic obstructive pulmonary disease being investigated in the entire population. Which rate does this represent?
A) Adjusted B) Attack C) Crude D) Incidence
Older adults in the community are at high risk for medication errors. This may occur because older adults:
1. Are not competent to take their own medications and need supervision 2. Are often taking high-risk medications 3. Are not motivated to take medications correctly 4. Need community health nurses to sort and organize their medications