A client hospitalized after a myocardial infarction is restlessly moving about in bed. Her pulse,
blood pressure, and respiratory rate are elevated. In a shaky voice, she tells the nurse "I think I am
going to die.
The pain is gone, but it could come back anytime. Where is the doctor? Why isn't the
doctor here with me?" The nurse should analyze this behavior as suggesting the nursing diagnosis of
a. spiritual distress.
b. ineffective breathing pattern.
c. noncompliance.
d. anxiety.
D
The clinical picture is typical of anxiety. The client is experiencing uneasy feelings arising from a
nonspecific source. Anxiety typically produces elevated vital signs. Data are not present for the
other nursing diagnoses.
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Upon being told of her father's death, the daughter cries out, "No! Oh, God, no!" What stage of grief is the daughter in?
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Research utilization is a process that begins with:
A) A clinical problem that needs to be solved B) A problem-focused trigger C) A knowledge-focused trigger or research finding D) A well-worded clinical question
Which of the following entries documenting a skilled nursing visit will best promote timely and complete reimbursement?
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