Nursing Theory Application Case
Studies with Complete Solutions
During the day, the nurse spends time instructing a client in how to self-administer
insulin. after discussing the technique and demonstrating an injection, the nurse asks
the patient to try it. After the client makes two attempts, it is clear that the client does not
understand how to prepare the correct does the nurse talked to her charge nurse and
ask for suggestions. what is this an example of? - ANSWER-patient assessment
how should a 'actual' (problem-focused) nursing diagnosis be structured -
ANSWER-"Diagnostic Label" related to "Risk or Related factors" as evidenced by
"Clinical Manifestation (signs and symptoms)"
Ex. Acute pain related to pressure on spinal nerves as evidenced by client moaning and
grimacing, reporting pain 8 out of 10.
how should a 'Risk' (problem-focused) nursing diagnosis be structured -
ANSWER-"Diagnostic Label" related to "Risk or Related factors"
Ex. "risk for impaired skin integrity related to "immobility"
Justine Montrose is an 85-year-old female who lives in an assisted living facility. She
uses a walker to ambulate due to decreased strength and limited range of motion in her
right knee. Recently she has been complaining of being tired and has been spending
most of the day in bed. This morning she tells the nurse that she is "feeling very weak"
she also shares that "she has pain in her lower back" Upon assessment of the lower
back the skin appears red - ANSWER-
Mr. Diamond, age 65, is recovering from a stroke he suffered one week ago. He has
left-sided paralysis and his left arm hangs limply at his side and he drags his left foot.
He is able to pivot transfer to the wheelchair, with the assistance of one nurse. He
always prided himself on his independence and finds it frustrating to ask for assistance
with everything. He states, "eating is a chore since he is left-handed" and you notice he
has difficulty holding utensils. Today he refused all of his meals and he complains to the
nurse that he has no appetite and feels uncomfortable when sitting up. His abdomen
looks distended. He has not had a bowel movement in two days. - ANSWER-
Mr. Kent age 45, is admitted to the hospital for surgery tomorrow. he tells you he has
been having "severe pain in his abdomen." when you ask him where the pain is, he
points to his lower right quadrant. he says "it feels like a knife is stabbing me, and
nothing is making it better." When you look at the abdomen it is distended and the skin
looks shiny and taut. when you palpate the abdomen, it is hard. his BP is 150/80 mm
Hg; Temperature 39c, heart rate 110bpm, respiratory rate 24. - ANSWER-
Studies with Complete Solutions
During the day, the nurse spends time instructing a client in how to self-administer
insulin. after discussing the technique and demonstrating an injection, the nurse asks
the patient to try it. After the client makes two attempts, it is clear that the client does not
understand how to prepare the correct does the nurse talked to her charge nurse and
ask for suggestions. what is this an example of? - ANSWER-patient assessment
how should a 'actual' (problem-focused) nursing diagnosis be structured -
ANSWER-"Diagnostic Label" related to "Risk or Related factors" as evidenced by
"Clinical Manifestation (signs and symptoms)"
Ex. Acute pain related to pressure on spinal nerves as evidenced by client moaning and
grimacing, reporting pain 8 out of 10.
how should a 'Risk' (problem-focused) nursing diagnosis be structured -
ANSWER-"Diagnostic Label" related to "Risk or Related factors"
Ex. "risk for impaired skin integrity related to "immobility"
Justine Montrose is an 85-year-old female who lives in an assisted living facility. She
uses a walker to ambulate due to decreased strength and limited range of motion in her
right knee. Recently she has been complaining of being tired and has been spending
most of the day in bed. This morning she tells the nurse that she is "feeling very weak"
she also shares that "she has pain in her lower back" Upon assessment of the lower
back the skin appears red - ANSWER-
Mr. Diamond, age 65, is recovering from a stroke he suffered one week ago. He has
left-sided paralysis and his left arm hangs limply at his side and he drags his left foot.
He is able to pivot transfer to the wheelchair, with the assistance of one nurse. He
always prided himself on his independence and finds it frustrating to ask for assistance
with everything. He states, "eating is a chore since he is left-handed" and you notice he
has difficulty holding utensils. Today he refused all of his meals and he complains to the
nurse that he has no appetite and feels uncomfortable when sitting up. His abdomen
looks distended. He has not had a bowel movement in two days. - ANSWER-
Mr. Kent age 45, is admitted to the hospital for surgery tomorrow. he tells you he has
been having "severe pain in his abdomen." when you ask him where the pain is, he
points to his lower right quadrant. he says "it feels like a knife is stabbing me, and
nothing is making it better." When you look at the abdomen it is distended and the skin
looks shiny and taut. when you palpate the abdomen, it is hard. his BP is 150/80 mm
Hg; Temperature 39c, heart rate 110bpm, respiratory rate 24. - ANSWER-
