When the nurse looks at the defining characteristics for an actual nursing diagnosis and writes statements that are considered to be the opposite, the nurse has engaged in the step of the nursing process known as:
1. Assessment
2. Evaluation
3. Nursing diagnosis
4. Outcome identification
ANS: 4
Outcomes are projections of expected influence that nursing interventions will have on the client. Outcome criteria for actual diagnoses are generally considered the opposite of the defining char-acteristics.
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An older patient asks the nurse what he can about nausea that occurs after eating because of delayed gastric emptying. What advice should the nurse provide to the patient?
A) Changing to a vegetarian, organic diet B) Limiting food intake and taking antacids regularly C) Increasing the amount of soluble and insoluble fiber in his diet D) Eating several small meals throughout the day rather than three larger ones
The nurse is caring for a client who develops compartment syndrome after an embolectomy for peripheral arterial disease. What is the nurse's best action?
a. Perform passive range-of-motion exercise to improve distal blood flow. b. Prepare the client for return to the operative suite for surgical correction. c. Medicate the client for pain and place the client in a knee-chest position. d. Loosen the dressing and elevate the extremity to the level of the heart.
When assessing the family, the nurse will determine that the healthy family is the family with roles that are:
A) associated with family structure, culture, and gender. B) dependent on economics, with the person with the greatest wealth having the most powerful roles. C) able to change from day to day to help the family cope with emergencies. D) always the same as long as family members remain in the same household.
A client tells the nurse that all hospitals care about is doing the minimum for a client regardless of the outcome. Which of the following should the nurse respond to this client?
1. "It does feel like that sometimes." 2. "Health insurance companies have caused this problem." 3. "The doctors will get paid regardless of the clients' outcomes." 4. "There are quality programs in place to make sure clients receive the best quality of care regardless of the cost."