A patient has severe watery diarrhea from chemotherapy and is embarrassed having to be cleaned up frequently. The nurse notes several open areas on the patient's rectal area that cause pain. What nursing diagnosis takes priority?
a. Acute pain
b. Impaired skin integrity
c. Ineffective coping
d. Decreased cardiac output
B
Physical needs take priority over psychosocial ones. The patient has open areas and impaired skin integrity, but no information shows decreased cardiac output. The pain is related to the impaired skin, so treating that will diminish the pain.
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The staff developer prepared a presentation for the hospital regarding diversity. What is the single most important factor predicting successful implementation of a diversity program?
a. Nurses' support b. Administrative support c. Physicians' support d. Stake holders' support
A woman with borderline personality disorder has been admitted to the inpatient unit because she has been engaging in wrist cutting
The client's sister is visiting, and the sister asks the nurse to explain why her sister sometimes does this to herself. Which response by the nurse would be most appropriate? A) "Sometimes the self-injurious behavior is undertaken to relieve stress." B) "Self-injurious behavior often calms and sedates people with this diagnosis." C) "Sometimes they do it to avoid the onslaught of delusional thinking." D) "The self-mutilation often slows the mood swings your sister experiences."
The nurse is preparing to do an altered family function risk assessment on a patient. Which question should the nurse ask first?
A) "What are the potential sources of stress in your family?" B) "Are you able to cope with family health problems?" C) "Tell me about your family's eating habits?" D) "What is the general sleep pattern in your family?" E) "How would each member describe this family?"
Because of the oral tradition of this cultural group, in providing discharge teaching, it would be inappropriate to provide written communication for which of the following culture groups?
A. Hmongs B. Hispanic Americans C. Japanese Americans D. African Americans