Which organization defines the nursing diagnosis?
A) American Nurses Association
B) North American Nursing Diagnosis Association–International
C) American Association of Colleges of Nursing
D) Sigma Theta Tau International
Ans: B
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When focus charting, what does the nurse use as a basis for documentation?
a. Problem list b. Nursing orders c. Nursing diagnoses d. Evaluation
Psychosocial implications of a diagnosis of osteoporosis the nurse should assess for can include (Select all that apply)
a. anxiety over disfigurement. b. chronic pain. c. fear of falling. d. poor quality of life. e. self-esteem problems.
When assessing for squamous cell cancer (SCC), a home health nurse is particularly concerned about a suspicious lesion on the
a. leg of a 60-year-old Asian female. b. neck of a 73-year-old Hispanic female. c. Lower lip of a 70-year-old African Amer-ican male. d. back of a 90-year-old Caucasian male.
Which of the following examples of patient data needs to be validated? Select all that apply
A) A patient has trouble reading an informed consent, but states he does not need glasses. B) An elderly patient explains that the black and blue marks on his arms and legs are due to a fall. C) A nurse examining a patient with a respiratory infection documents fever and chills. D) A patient in a nursing home states that she is unable to eat the food being served. E) A pregnant patient is experiencing contractions that are 2 minutes apart. F) Following a MVA, the teenage driver with alcohol on his breath states that he was not drinking.