Your client is a single mother of a young child. She is in a steady relationship but is unable to become more intimate with her partner because her child is anxious about her mother's relationship with a man not the child's father
What would be your nursing diagnosis?
1. Ineffective sexual patterns
2. Sexual dysfunction
3. Interrupted family patterns
4. Risk for ineffective sexual patterns
ANS: 3
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What framework does the establishment of priorities of care during the planning phase of the nursing process often use?
a. Erikson's developmental tasks b. Piaget's cognitive table c. Maslow's hierarchy of needs d. Freud's classifications
For clients receiving immunosuppressants, the priority goal of nursing care is:
a. compliance with therapy. b. assessing client's temperature every four hours. c. monitoring for serum sickness. d. prevention of infection.
An example of battery is
a. a patient who refuses to be suctioned and is suctioned anyway after refusal. b. a patient who uses the call light and yells out repeatedly is threatened with bodily harm. c. a patient who threatens to leave the hospital against medical advice is told she will be restrained. d. a patient who refuses to take his medications is threatened with being forcibly given the medications.
Which of the following nursing interventions is most specific for a client being monitored for possible urinary retention?
1. Measuring urine output with each urination 2. Monitoring the color and clarity of urine with each voiding 3. Collecting a urine sample for a culture and sensitivity test 4. Asking the cognizant client to report each time he or she urinates