The nursing instructor knows that further education is needed when a student makes which statement?
1. "Assessment precedes nursing diagnosis and outcome identification."
2. "Planning follows nursing diagnosis and outcome identification and precedes implementation."
3. "Evaluation follows implementation and precedes planning."
4. "Planning follows assessment and precedes evaluation."
3
Rationale 1: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
Rationale 2: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
Rationale 3: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
Rationale 4: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
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When evaluating a patient's pain, the nurse knows that an example of acute pain would be:
a. Arthritic pain. b. Fibromyalgia. c. Kidney stones. d. Low back pain.
A community mental health nurse visits a client who lives in a community residence. On two
sequential visits, the client makes veiled references to receiving verbally abusive treatment at the hands of one of the residence aides. The action the nurse should take is to a. understand that psychiatric clients often feel abused. b. listen and wait to see if the client continues to report the abuse. c. confront the residence aide with the client's allegations. d. report the client's comments to the protection and advocacy agency.
The nurse is caring for a client experiencing depression and who is a known risk for suicide. The nurse observes that the client appears to be happy and has been giving some treasured possessions away during the day
The nurse should assess the client for: 1. possibility for discharge. 2. overdose of medication. 3. a plan for suicide. 4. planned violence towards others.
Which of the following statements best describes full thickness burns?
a. They usually heal within 5 to 10 days without scarring. b. They are essentially the same as a first-degree burn and are very painful. c. They involve the epidermis, dermis, and extend into subcutaneous tissues. d. The skin is moist, bright red, painful, and extremely sensitive to cold air.