The nurse is reviewing a plan of care for a child diagnosed with conduct disorder. When reviewing the care plan, the nurse would expect to see which nursing diagnosis?
A) Personal identity disturbance, related to inability to recognize self as separate being
B) Sleep pattern disturbance, related to fears of separation
C) Risk for violence, directed at others, related to poor impulse control
D) Impaired verbal communication, related to inability to form words or sentences
C
You might also like to view...
A student nurse asks her study group how to define a drug allergy. What would be the peer group's best response?
A) A second effect of the body to a specific drug B) The formation of antibodies to a drug protein causing an immune response when the person is next exposed to that drug. C) A serum sickness caused by a reaction to a drug D) Immediate systemic reaction to the drug when exposed to the drug the first time.
A client has an epicardial pacemaker. The nurse observes the presence of a pacing spike but no QRS complex on the client's electrocardiograph (ECG) tracing. How does the nurse interpret this event?
a. Loss of capture b. Ventricular fibrillation c. Failure to sense d. A normal tracing
In the client with alkalosis, the nurse assesses for which clinical manifestations? (Select all that apply.)
a. Positive Chvostek's sign b. Positive Trousseau's sign c. Hyporeflexia d. Bradycardia e. Elevated blood pressure f. Elevated urinary output
The nurse is conducting a closure group and asks the clients to write down what they think is the most important experience they had during the day. The nurse is performing which of the following types of analysis?
A) Psychological B) Behavioral C) Affective D) Cognitive