Which would be an expected outcome for a client with the nursing diagnosis Self-Care Deficit related to cognitive impairment?
1. The client will be able to name the staff that works on the day shift.
2. The client will eliminate safety hazards in her environment.
3. The client, with supervision, will brush her teeth.
4. The nurse will stress the importance of adequate fluid intake.
Correct Answer: 3
Rationale 1: Cognitive impairment limits the client's ability to understand and comprehend; therefore naming the staff is not within the client's realm of understanding.
Rationale 2: Cognitive impairment limits the client's ability to understand and comprehend; therefore eliminating safety hazards is not within the client's realm of understanding.
Rationale 3: A client with cognitive impairment would be able to brush her teeth but only with supervision. The client would not voluntarily brush their teeth without prompting from the staff.
Rationale 4: Cognitive impairment limits the client's ability to understand and comprehend; therefore stressing adequate fluid intake is not within the client's realm of understanding.
You might also like to view...
Terminal restlessness
a. Is involuntary thrashing or agitation b. Is a common occurrence at the end of life c. Occurs as a result of progressive shutdown of body systems d. All of the above
Which sign is the nurse most likely to assess in a child with hypoglycemia?
a. Urine positive for ketones and serum glucose greater than 300 mg/dL b. Normal sensorium and serum glucose greater than 160 mg/dL c. Irritability and serum glucose less than 70 mg/dL d. Increased urination and serum glucose less than 120 mg/dL
The nurse plans to teach patients about the difference between herbal preparations and prescription medications. Which statement describes the best plan by the nurse?
1. "Herbs, like prescription drugs, usually only contain one active ingredient." 2. "The active ingredients in an herb, unlike prescription drugs, may be present in just one part or many parts." 3. "Most herbs, like prescription drugs, are standardized and regulated by the Food and Drug Administration (FDA)." 4. "Herbs are considered to be safer than prescription medications as they are natural."
What is a very practical and feasible way of obtaining comprehensive community health data?
A. Do a comprehensive survey with every community resident. B. Inspect, auscultate, palpate, and percuss the community. C. Request community residents to respond to an Internet survey. D. Use data already collected and available on the Internet.