When writing patient outcomes and establishing time frames for completion, the nurse should ensure that each nursing diagnosis has:
a. only one patient outcome.
b. either short- or long-term time frames, but not both.
c. multiple outcomes and time frames.
d. a specific time frame for each patient outcome.
D
Every patient outcome must include a time frame that designates the time by which the patient outcome should be met.
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A teenage girl sees the school nurse to ask about a vaginal discharge that she has had for a month. The nurse suspects a sexually transmitted disease. What is the nurse's next step?
1. Notify the girl's parents. 2. Determine the girl's sexual partners. 3. Encourage the girl to go to the free clinic or her private health care provider for an examination and possible treatment. 4. Notify the health department of the sexually transmitted disease.
A nurse has frequent visitors while working. The manager has discussed with the nurse the negative effect of these visits on client care. What should the manager do next?
1. Ask staff if the visits have decreased. 2. Arrange a follow-up meeting with the nurse. 3. Counsel all nursing staff regarding the limitations of personal visitors. 4. Arrange to be visible on the nursing unit when this nurse is working.
A client presents at the emergency department reporting a burning pain in the chest of a 7 on a 0 to 10 pain scale. Gastroesphogeal reflux disorder (GERD) secondary to hiatal hernia is diagnosed. Based on this data, which is the priority nursing diagnosis
A) Dysfunctional Gastrointestinal Motility B) Anxiety C) Acute Pain D) Ineffective Health Maintenance
The nurse is preparing a seminar on planning for a hospitalization for residents of an assisted living facility. What information should the nurse include in the seminar? Standard Text: Select all that apply
1. Bring a copy of advanced directives for healthcare. 2. Bring a list of current medications and current labs. 3. Bring valuable jewelry and money to avoid leaving it unattended. 4. Bring good walking slippers, a bathrobe, and items such as books. 5. Bring several changes of clothing to avoid wearing a hospital gown.