A client has a nursing diagnosis of Insomnia R/T paranoid thinking AEB MNA, DFA, and daytime napping. Which is a correctly written and appropriate outcome for this client?
1. The client will avoid daytime napping and attend all groups.
2. The client will exercise, as needed, before bedtime.
3. The client will sleep seven uninterrupted hours by day four of hospitalization.
4. The client's sleep habits will improve during hospitalization.
3
Rationale: The outcome "The client will sleep seven uninterrupted hours by day four of hospitalization" is accurately written and an appropriate outcome for a client diagnosed with insomnia. Nursing outcomes should be derived from the diagnosis, measurable, and include a time estimate for attainment. The outcome must also be realistic for the client's capabilities.
You might also like to view...
A patient is being instructed on how to perform Kegel exercises. What should be included in these instructions?
Select all that apply. 1. While voiding, stop the flow of urine and hold for a few minutes. 2. Tighten the muscles around the anus to resist defecation. 3. Take a deep breath and hold while performing the exercise. 4. Perform these exercises at least once per day. 5. Perform these exercises for at least several months.
Inhibition of the parasympathetic nervous system is caused by which type of drug? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Anticholinergics 2. Sympathomimetics 3. Parasympathomimetics 4. Cholinergic blocks 5. Sympathomimetic blockers
The nurse has completed nutritional teaching with the patient who has a high low density lipoprotein (LDL) level. The nurse recognizes that teaching has been effective when the patient makes which menu choice?
1. Beef tenderloin with gravy and noodles, fruit salad with apples and grapefruit, slice of rye bread, and apple pie 2. Grilled chicken salad with strawberries and pecans, baked macaroni and cheese, and low-fat brownie 3. Grilled chicken with rice and broccoli, tossed salad with walnuts and sliced apples, slice of whole-wheat bread, and low-fat chocolate pudding 4. Low-fat hamburger with whole-wheat bun, tossed salad with walnuts and olive oil, and raisin-oatmeal cookie
Which type of pain is transmitted by C-nerve fibers? Select all that apply
a. diffuse and dull b. burning and chronic c. pain that comes and goes unexpectedly d. unremitting and unbearable pain