Which of the following is the best example of a nursing diagnosis statement?
a. Pain related to appendicitis
b. Fractured left leg related to impaired mobility
c. Impaired mobility related to fractured left leg
d. Acute pain related to out of bed activities
ANS: D
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The nurse is assessing a child diagnosed with conduct disorder. Which would be the most appropriate question to ask the parents?
1. "Does your child have a history of cruelty to other people and animals?" 2. "Does your child unconsciously direct feelings and desires from other relationships toward others?" 3. "Does your child seem to be reassured by your presence?" 4. "Does your child readily seek out caregivers in times of stress?"
The pathophysiology instructor is discussing heart disease with a class of prenursing students. One of the students asks what indications there are for coronary artery bypass surgery with cardiopulmonary bypass
What would be the instructor's answer? Select all that apply. A) Atheromas are calcified and noncompressible. B) The heart cannot be repaired without compromising oxygenation of the body. C) The client has multiple coronary artery occlusions. D) Transluminal coronary angioplasty is necessary. E) The anatomic location of the occlusion(s) interferes with the safe insertion of a coronary artery catheter.
An older adult client is suspected of being neglected by the caregiver. What assessment provides the nurse with the best information about this possibility?
a. Inspect skin in the "bathing suit zone" for bruises. b. Assess the client for orientation to person, place, and time. c. Compare the client's current weight with prior recorded weights. d. Perform orthostatic pulse and blood pres-sure readings.
A common perceptual distortion associated with self-hypnosis is:
a. increased circulation to the body b. the sense of having slept for an hour c. coming up with new, viable solutions d. slowing heart and breath rates