The nurse is reviewing information about the formulation of nursing diagnoses. What should the nurse identify as the area in which nursing diagnoses differ from medical diagnoses and collaborative problems?

1. Mental status of the client
2. Chronic nature of the illness
3. Nursing care focus
4. Prognosis


Correct Answer: 3
Rationale 1: This is not considered and so is not an area of difference.
Rationale 2: This is not considered and so is not an area of difference.
Rationale 3: Nursing focus is an area that differs.
Rationale 4: This is not considered and so is not an area of difference.

Nursing

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An older female adult has a glass of wine a few days after being discharged from the hospital with atrial fibrillation. Which instruction should the nurse provide to this woman first?

a. A daily glass of red wine might be heart-healthy. b. Avoid drinking more than 4 ounces of wine daily. c. Ask for help before getting up after drinking wine. d. Avoid alcoholic beverages when on an anticoagulant.

Nursing

Which finding could prevent early discharge of a newborn who is now 12 hours old?

a. Birth weight of 3000 g b. One meconium stool since birth c. Voided, clear, pale urine three times since birth d. Infant breastfed once with some difficulty latching on and sucking and once with some success for about 5 minutes on each breast.

Nursing

A patient shouts, "I'm holding you responsible for mistreatment based on Rogers v. Orkin." The nurse can conclude that the patient is objecting to

a. loss of privileges to leave the unit. b. inability to make phone calls. c. taking medication. d. hospitalization.

Nursing

A priority focus of milieu management for a patient diagnosed with dissociative identity disorder (DID) should be

a. ensuring safety. b. stimulating memory return. c. insight-oriented group therapy. d. gathering data about family relationships.

Nursing