Question 1:
(see full question)
The nurse is using the nursing process to care for a client and is in the process of making a nursing diagnosis for the client. Which of the following best reflects a nursing diagnosis?
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Question 1:
(see full question)
The nurse is using the nursing process to care for a client and is in the process of making a nursing diagnosis for the client. Which of the following best reflects a nursing diagnosis?
You selected: Risk for falls
Correct
Explanation: Risk for falls is a nursing diagnosis. Hypertension, congestive heart failure, and pneumonia are medical diagnoses versus nursing diagnoses.
Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 1: Introduction to Nursing, p. 19.
Chapter 1: Introduction to Nursing - Page 19
Question 2:
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Which of the following is the best example of a nurse in the role of counselor?
You selected: A nurse allowing a crying client to verbalize their fears of death
Correct
Explanation: When the nurse is acting as a counselor, the nurse uses therapeutic interpersonal skills to facilitate the client's problem-solving and decision-making skills. The best example is the nurse allowing the client to verbalize their feelings, as verbalizing feelings lets the client gain a better perspective of their situation for problem solving and for coming to terms with the situation. Telling the client about the side effects of a medication is a form of teaching. Providing test results to the physician is communication, and ensuring a client has follow-up care at a free clinic is advocacy. (less)
Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 1: Introduction to Nursing, p. 11.
Chapter 1: Introduction to Nursing - Page 11
Question 3:
(see full question)
The nurse is evaluating client health. Which of the following clients should the nurse determine to be exhibiting the most signs of health?
You selected: A client with a leg amputation that performs activities of daily living with a prothesis
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