The nurse admits a client who is a university student. The student immediately announces that she has been studying for final examinations in several courses
The student is pacing and expresses concern that this time in the hospital away from studies will cause a drop in grades and the parents will be angry if As are not attained in each course. Which statement represents the MOST appropriate nursing diagnosis for this client? a. Panic Disorder with Suicidal Ideation, secondary to panic disorder
b. Violence Directed toward Others, related to confusion and impaired impulse control as evidenced by depression
c. Traumatic Experience, related to feelings of unreality as evidenced by unmet needs
d. Ineffective Individual Coping, related to fear of failure as evidenced by inability to meet role expectations
D
The most appropriate diagnosis is "Ineffective Individual Coping." The client is experiencing stress over the possibility of not meeting role expectations. This stress causes anxiety as demonstrated by her pacing. The anxiety is beginning to interfere with her ability to cope effectively. Because previous coping strategies are ineffective, new coping strategies must be developed to address this challenging situation and reduce the anxiety it has caused.
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The nurse's responsibility in reducing the client's risk for infection includes which of the following? (Select all that apply.)
a. hand hygiene for all who enter the room b. proper protective equipment c. not allowing visitors d. keeping environment clean e. follow isolation policy f. limit time spent in client's room
An older adult African-American woman has gone to the clinic where a RN volunteers twice a week. She is a diabetic and has some skin breakdown on the calf of her right leg. Her skin is very darkly pigmented
To best examine the patient's skin, the nurse should use which of the follow-ing? a. Halogen lighting b. Artificial warming to increase room tem-perature c. Natural sunlight d. Air conditioning to lower room tempera-ture
Which of the following is true of pelvic rocking during pregnancy?
A) It should hurt or it will be ineffective. B) It stretches perineal muscles. C) It helps to relieve backache. D) It may cause mild abdominal cramping.
A recently widowed patient reports new onset of sexual dysfunction. There are no new medications or illnesses. What action by the nurse is best?
a. Assess the patient's alcohol intake. b. Refer the patient for counseling. c. Ask if there are new partners. d. Have the patient speak to the doctor.