Three components of nursing diagnosis:
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problem (unmet need)
etiology (cause of the problem)
supporting data (signs & symptoms)
problem RELATED TO underlying cause AS EVIDENCED BY signs and
symptoms
DVT/PAD/PVD
A client is suspected of having a VTE. What diagnostic test may be prescribed?
A. Arterial blood gas
B. Chest X-ray
C. Type and screen (blood type)
,D. Duplex Ultrasound
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D. Duplex Ultrasound
MENTAL HEALTH MOOD DISORDERS
A nurse is caring for a client with bipolar disorder. The client states “I am very rich, and
I feel that I need to give my money to you.” Which of the following is the best
response for the nurse to give?
A. “Why do you think you feel the need to give your money away?”
B. “I am here to provide care and cannot accept this from you.”
C. “I can request that your case manager come to discuss appropriate charity options
with you.”
D. “You should know that giving away your money is inappropriate.”
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B. “I am here to provide care and cannot accept this from you.”
MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS
Amanda's mobile home was destroyed by a tornado. Amanda received only minor
injuries but is experiencing disabling anxiety in the aftermath of the event. What is this
type of crisis called?
A. Existential crisis
B. Situational crisis
C. Psychological crisis
D. Developmental crisis
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B. Situational crisis
MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS
Which of the following assessment items can be documented as subjective client
data?
A. A client’s face turns pale when he stands up
B. A client’s cervical lymph nodes are palpable
C. A client feels nauseated
D. The nursing assistant reports to the RN that the client refused to eat lunch
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C. A client feels nauseated
CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK
A client asks the nurse, “What causes angina to develop?” What would be the best
response by the nurse?
A. A decreased demand for Oxygen
B. Increased supply of oxygen to the patient
C. Narrowing of one or more of the coronary arteries
D. Widening of one or more of the coronary arteries
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problem (unmet need)
etiology (cause of the problem)
supporting data (signs & symptoms)
problem RELATED TO underlying cause AS EVIDENCED BY signs and
symptoms
DVT/PAD/PVD
A client is suspected of having a VTE. What diagnostic test may be prescribed?
A. Arterial blood gas
B. Chest X-ray
C. Type and screen (blood type)
,D. Duplex Ultrasound
Give this one a try later!
D. Duplex Ultrasound
MENTAL HEALTH MOOD DISORDERS
A nurse is caring for a client with bipolar disorder. The client states “I am very rich, and
I feel that I need to give my money to you.” Which of the following is the best
response for the nurse to give?
A. “Why do you think you feel the need to give your money away?”
B. “I am here to provide care and cannot accept this from you.”
C. “I can request that your case manager come to discuss appropriate charity options
with you.”
D. “You should know that giving away your money is inappropriate.”
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B. “I am here to provide care and cannot accept this from you.”
MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS
Amanda's mobile home was destroyed by a tornado. Amanda received only minor
injuries but is experiencing disabling anxiety in the aftermath of the event. What is this
type of crisis called?
A. Existential crisis
B. Situational crisis
C. Psychological crisis
D. Developmental crisis
, Give this one a try later!
B. Situational crisis
MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS
Which of the following assessment items can be documented as subjective client
data?
A. A client’s face turns pale when he stands up
B. A client’s cervical lymph nodes are palpable
C. A client feels nauseated
D. The nursing assistant reports to the RN that the client refused to eat lunch
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C. A client feels nauseated
CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK
A client asks the nurse, “What causes angina to develop?” What would be the best
response by the nurse?
A. A decreased demand for Oxygen
B. Increased supply of oxygen to the patient
C. Narrowing of one or more of the coronary arteries
D. Widening of one or more of the coronary arteries
Give this one a try later!
