In a rush of words, a patient tells the community mental health nurse, "Everything's a disaster! I cannot concentrate. My disability check did not come. My roommate moved out and I cannot afford the rent. My therapist is moving away
I don't know what to do and feel like I'm coming apart." Which nursing diagnosis applies? a. Decisional conflict related to challenges to personal values.
b. Spiritual distress related to ethical implications of treatment regimen.
c. Anxiety related to changes perceived as threatening to psychological equilibrium.
d. Self-concept disturbance related to solving multiple problems affecting security needs.
C
Subjective and objective data obtained by the nurse suggest the patient is experiencing anxiety caused by multiple threats to security needs. Data are not present to suggest decisional conflict, ethical conflicts around treatment causing spiritual distress, or self-concept disturbance.
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Which of the following individuals are likely to display identified risk factors for the development of lower urinary tract obstruction? Select all that apply
A) A 32-year-old woman who had a healthy delivery of her third child 4 months ago B) A 68-year-old man who has been diagnosed with benign prostatic hyperplasia (BPH) C) A 55-year-old man with diabetes who is receiving diuretic medications for the treatment of hypertension D) A 30-year-old woman who has been diagnosed with gonorrhea E) A 74-year-old woman who has developed a lower bowel obstruction following several weeks of chronic constipation F) A 20-year-old man who has spina bifida and consequent impaired mobility.
The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. Which would be most important for the nurse when working with this family?
A) Gather information for three generations. B) Inform the family of the need for information. C) Maintain the confidentiality of the information. D) Present the information in a nondirective manner.
After starting a diuretic, the patient lost 4.5 pounds. About how much fluid does this represent?
a. 0.5 liter c. 2 liters b. 1 liter d. 4 liters
Appraisal of Guidelines Research and Evaluation (AGREE) Instrument consists of ratings of quality on what type of scale?
A) 4-point scale B) 5-point scale C) 6-point scale D) 7-point scale