The nurse is creating outcome criteria for identified nursing diagnoses for a patient. What characteristics should the nurse include when creating the criteria?
A. Structured as statements
B. Constructed as nursing goals
C. Focus on psychomotor actions
D. Patient-specific, time-specific, and measurable
Answer: D
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The pediatric nurse teaches the parents of a 3-month-old baby the principles of growth and development that will occur in their child's lifetime. Which statement accurately describes one of these principles?
A. Each child progresses through predictable stages within a predictable timeframe. B. Growth and development begin in infancy and continue until the adult years. C. Growth refers to the ongoing process of adapting throughout the life span. D. Within each child, body systems develop at the same rate.
A nurse is assisting with a caloric test and notes that the specific patient response that indicates a hearing disorder is a problem in the labyrinth. Which response did the nurse witness?
a. Blinking b. Grimacing c. Headache d. Nystagmus
The nurse is taking the sexual history of an adolescent who has come into the free clinic. What question best assesses the patient's need for further information?
A) "Are you involved in an intimate relationship at this time?" B) "How many sexual partners have you had?" C) "What questions or concerns do you have about your sexual health?" D) "Have you ever been diagnosed with a sexually transmitted infection?"
Sensory changes that occur as part of the aging process include
A) difficulty in seeing close objects. B) increased sensitivity to heat and cold. C) smell and taste becoming more sensitive. D) decreased ability to hold urine.