Complete Solutions
"Unhappy and worried about health" is not a scientifically based
nursing diagnosis, and it can lead to error in which of the
following?
A) Data collection
B)Data clustering
C)Diagnostic label
D)Medical diagnosis Correct Answers C)Diagnostic label
10.The nurse has just admitted a patient to rule out Alzheimer's
disease. The patient is confused and spitting on everyone who
enters the room. What should the nurse do?
A) Wait an hour until the patient calms down, and then use
gloves when touching the patient.
B) Use gloves, a mask, a face shield, and a gown when entering
the room to perform the initial assessment.
C) Administer a sedative, and then perform the assessment after
the patient is asleep; no precautions would be needed.
D) Realize that isolation equipment might further confuse the
patient and avoid using a face mask and shield, but use gown
and gloves. Correct Answers B) Use gloves, a mask, a face
shield, and a gown when entering the room to perform the initial
assessment.
9.Which of the following statements reflects the current trend in
the directives from the Centers for Disease Control and
Prevention for minimizing the risks of infection?
A) Discard all dressings into red bags.
, B) Do not recap bottles of solutions to minimize the risk of
contamination.
C) Recap syringes or break needles off before discarding them
into sharps containers.
D) Keep all drainage tubing below the level of the waist or site
of insertion. Correct Answers D) Keep all drainage tubing
below the level of the waist or site of insertion.
A client-centred goal is a specific and measurable behaviour or
response that reflects which of the following?
A)The agency's goal for a client with a similar problem
B) The client's desire for specified health care interventions
C) The client's response compared with that of another client
with a similar problem
D) The client's highest possible level of wellness and
independence in function Correct Answers D) The client's
highest possible level of wellness and independence in function
A family is in spiritual distress because of the recent, but
expected, death of a family member. The nurse who provides
counselling to the family implements which of the following
interventions?
A) Praying with the family
B)Reminiscing with the family
C) Arranging for the chaplain to visit the family
D)Obtaining a consultation with a psychiatric clinical nurse
specialist Correct Answers B)Reminiscing with the family
A middle-aged woman who lives with and takes care of her aged
mother is given the nursing diagnosis caregiver "role strain."