The student nurse is developing a concept care map for her client with multiple sclerosis. In what phase does the student determine the relationship among the nursing diagnoses and begin to see the client holistically?
A) Assessment
B) Assessment/diagnosis
C) Diagnosis/Planning
D) Planning/Implementation
C
Feedback:
In diagnosis/planning, the nurse determines relationships among nursing diagnoses. It provides a means to "see" the client holistically. Assessment is the beginning phase where the nurse begins collecting the data. In assessment/diagnosis, the diagnoses are being formed and the relationships are not clear at this point. Planning/implementation cannot begin until the relationship is formed.
You might also like to view...
A woman is started on propylthiouracil (PTU). What is the primary mode of action for propylthiouracil?
A) Destroys part of the thyroid gland B) Inhibits production of thyroid hormone C) Suppresses the anterior pituitary hormones D) Stimulates the thyroid cells
When the nurse is preparing a tepid bath for a patient, the water temperature should be:
a. 98.6° F. b. 100.2° F. c. 104.8° F. d. 110.4° F.
A client is receiving intravenous morphine every hour for severe pain. The nurse assesses the client and notes a blood pressure of mm Hg, pulse rate of 90 beats/min, and respirations of 6 breaths/min
Which action by the nurse takes priority? The nurse should a. administer the next dose of morphine when it is due. b. notify the physician about the patient's hypotension. c. prepare to administer naloxone (Narcan). d. return in 1 hour so the client can get some uninterrupted sleep.
During a home visit the nurse determines that family members would benefit from receiving the hepatitis B vaccination. Which family members did the nurse identify as being at risk for this illness?
Select all that apply. 1. 29-year-old female with ovarian cysts 2. 21-year-old male with Down syndrome 3. 63-year-old male with end-stage renal disease 4. 57-year-old female newly diagnosed with diabetes mellitus 5. 32-year-old male with liver disease from acetaminophen abuse