An elderly client complains of a disturbed sleep pattern and impaired memory. The nurse would document the patient's complaints as which type of nursing diagnosis?

a. risk nursing diagnosis c. syndrome nursing diagnosis
b. actual nursing diagnosis d. health-promotion nursing diagnosis


B
The nurse would document the patient's complaint as an actual nursing diagnosis. An actual nursing diagnosis "describes human responses to health conditions/life processes that exist in an individual, family, group, or community" (Herdman, 2012, p. 516). A health- promotion nursing diagnosis is a "clinical judgment about a person's, family's, group's, or community's motivation and desire to increase well-being and actualize human health potential as expressed in the readiness to enhance specific health behaviors, and which can be used in any health state" (Herdman, 2012, p. 516). A risk nursing diagnosis is a "clinical judgment about human experience/responses to health conditions/life processes that have a high probability of developing in a vulnerable individual, family, group, or community" (Herdman, 2012, p. 516). A syndrome nursing diagnosis is a "clinical judgment describing a specific cluster of nursing diagnoses that occur together, and are best addressed together and through similar interventions" (Herdman, 2012, p. 516).

Nursing

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The patient is being evaluated for a hematologic disorder. While collecting the history, what does the nurse expect the patient to complain of?

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The nurse is caring for a patient with elevated serum T3 and T4 levels who receives a new prescription for methimazole (Tapazole). Which patient statement indicates that additional teaching is needed about this medication?

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What would a nurse expect to find in an assessment of a healthy family?

1. Change is viewed as detrimental to the family. 2. There is a passive response to most stressors. 3. The structure is flexible enough to adapt to crises. 4. Minimum influence is being exerted on the environment.

Nursing

A patient who is scheduled for a bronchoscopy has arrived at the clinical facility. When preparing for the test, the patient reports feeling hungry and asks the nurse when he will be able to eat. What information should be provided by the nurse?

A) "You will not be allowed to eat or drink until the physician has seen you." B) "You may immediately resume your normal diet after the test." C) "You will not be able to eat or drink until your gag reflex has returned." D) "It will be at least 8 hours after the procedure before you are allowed to eat or drink."

Nursing