The nurse is identifying the domain in which to select a nursing diagnosis for a client. Which of the following is NOT included in the 13 domains of NANDA-approved nursing diagnoses?
a. Coping/stress tolerance c. Infection
b. Safety/protection d. Elimination/exchange
ANS: C
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The nurse provides opportunities for nursing home residents to read aloud to others. Which cognitive skill is this nursing intervention most likely to improve?
a. Verbal fluency b. Logical analysis c. Object naming d. Visuospatial skills
A scaphoid abdomen is characterized as a(n)
a. convex symmetrical profile, with maximum height of the abdomen at the umbilicus. b. convex contour with taut stretching of skin over the abdominal wall. c. concave symmetrical profile possibly due to flaccid muscles. d. asymmetrical profile, possibly indicating the presence of a tumor or a bowel obstruction.
A patient in the intensive care unit has a diagnosis of immune thrombocytopenia (ITP) and has been treated with an infusion of intravenous immunoglobulin (IVIG). The therapeutic effects of IVIG are an example of:
A) Passive acquired immunity B) Active acquired immunity C) Innate immunity D) Inflammation
Which one of the following patient characteristics is most likely to limit patient reliability during history taking?
a. The patient's measured IQ is above aver-age. b. The patient is alert and oriented to time and place. c. The patient is sleep- and sensory-deprived. d. The patient speaks the same language as examiner.