Which of the following psychosocial nursing diagnoses are related to anger and aggression? (Select all that apply.)
a. Anxiety
b. Violence, risk for other-directed
c. Hopelessness
d. Violence, risk for self-directed
e. Coping ineffective, individual
f. Fear
A, C, E, F
Anxiety, hopelessness, ineffective coping, and fear are all potential nursing diagnoses related to anger and aggression. Violence, risk for other-directed and violence, risk for self-directed are diagnoses in the physical realm.
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When assessing the older adult, the nurse considers which aspect of the patient's routine as a possible contributor to constipation?
a. Intake of antacids several times a day b. Taking a laxative once a week c. Excessive exercise routine d. Eating two apples a day e. Drinking 60 ounces of bottled water daily
When a patient has a suspected vestibular disorder, the physician orders an electronystagmogra-phy test. Which instruction should the nurse include when educating the patient about this test?
a. Use tea or coffee on the morning of test. b. Electrodes will be placed on the scalp. c. Air will be blown into the external ear. d. The patient should have nothing to eat or drink (NPO) 3 hours before the test.
People who are overweight often set unrealistic and unattainable weight loss goals. What is an achievable and attainable initial weight loss goal?
A) Less than 5% of body weight C) 10% to 15% of body weight B) 5% to 10% of body weight D) 15% to 20% of body weight
The nurse is performing a dressing change for a client and notices that there is a new area of skin breakdown near the site of the dressing. On closer examination, it appears to be caused from the tape used to secure the dressing. This would be an example of which phase of the nursing process?
1. Assessment 2. Diagnosis 3. Implementation 4. Evaluation