Which step in the nursing process identifies the basis or cause of the patient's problem?
a. Intervention
b. Expected outcome
c. Nursing diagnosis
d. Evaluation
C
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A Interventions are actions taken to meet the problem.
B Expected outcome is a statement of the goal.
C A nursing diagnosis states the problem and its cause ("related to").
D Evaluation determines whether the goal has been met.
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A client with bone cancer is hospitalized for a limb salvage procedure. How can the nurse best address the client's psychosocial needs?
a. Assess the client's coping skills and support systems. b. Explain that the surgery leads to a longer life expectancy. c. Refer the client to the social worker or hospital chaplain. d. Reinforce physical therapy to aid with ambulating normally.
An older adult who has an albumin level of 2.5 g/dl takes aspirin and phenytoin (Dilantin) by mouth daily. Which adverse effect of these medications does the nurse expect because of the older adult's nutritional status?
a. Depressed mood b. Clay-colored stools c. Increased heart rate d. Gingival hyperplasia
According to Maslow's basic human needs hierarchy, which needs are the most basic?
A) physiologic B) safety and security C) love and belonging D) self-esteem
Which nursing statement is a good example of the therapeutic communication technique of giving recognition?
A. "You did not attend group today. Can we talk about that?" B. "I'll sit with you until it is time for your family session." C. "I notice you are wearing a new dress and you have washed your hair." D. "I'm happy that you are now taking your medications. They will really help."