Exam 2 NUR 109 questions with correct
|\ |\ |\ |\ |\ |\ |\
answers
Which are examples of nursing diagnoses? *Select All
|\ |\ |\ |\ |\ |\ |\ |\
That Apply.*|\
1. Risk for impaired skin/tissue integrity
|\ |\ |\ |\ |\
2. Ineffective impulse control
|\ |\ |\
3. Insufficient breast milk
|\ |\ |\
4. Renal failure
|\ |\
5. Emphysema with chronic obstructive pulmonary
|\ |\ |\ |\ |\ |\
disease (COPD) - CORRECT ANSWERS ✔✔*1. Risk for
|\ |\ |\ |\ |\ |\ |\ |\
impaired skin/tissue integrity* |\ |\
*2. Ineffective impulse control*
|\ |\ |\
*3. Insufficient breast milk*
|\ |\ |\
Rationales
Option 1: Nursing diagnoses often address risks, for
|\ |\ |\ |\ |\ |\ |\ |\
example, that a client may be prone to skin impairment.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Option 2: |\
Nursing diagnoses address the health status of clients,
|\ |\ |\ |\ |\ |\ |\ |\
which often includes how effectively they deal with their
|\ |\ |\ |\ |\ |\ |\ |\ |\
environment.
,Option 3: |\
Nursing diagnoses address the health status of clients
|\ |\ |\ |\ |\ |\ |\ |\
and include terminology such as "deficient" and
|\ |\ |\ |\ |\ |\
"insufficient." In this case, the diagnosis addresses a
|\ |\ |\ |\ |\ |\ |\ |\ |\
problem but not the pathology of it. |\ |\ |\ |\ |\ |\
Option 4: |\
Direct terms such as renal failure name the illness or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disease, which is a medical diagnosis. |\ |\ |\ |\ |\
Option 5: |\
A diagnosis of emphysema with COPD is a medical
|\ |\ |\ |\ |\ |\ |\ |\ |\
diagnosis.
When working with a postoperative bariatric client, how
|\ |\ |\ |\ |\ |\ |\ |\
can the nurse promote client participation and adherence
|\ |\ |\ |\ |\ |\ |\ |\
to the nursing plan? *Select All That Apply.*
|\ |\ |\ |\ |\ |\ |\
1. Ensure the client feels comfortable asking questions.
|\ |\ |\ |\ |\ |\ |\
2. Keep the instructions simple, clear, and as specific as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
possible.
3. Determine if the client's goals for weight loss are the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
same as those in the nursing plan.
|\ |\ |\ |\ |\ |\
4. Help the client set realistic goals.
|\ |\ |\ |\ |\ |\
5. Carry out goal implementation and interventions even
|\ |\ |\ |\ |\ |\ |\ |\
when client doesn't "feel like it." - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
,✔✔*1. Ensure the client feels comfortable asking
|\ |\ |\ |\ |\ |\ |\
questions.*
*2. Keep the instructions simple, clear, and as specific as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
possible.*
*3. Determine if the client's goals for weight loss are the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
same as those in the nursing plan.*
|\ |\ |\ |\ |\ |\
*4. Help the client set realistic goals.*
|\ |\ |\ |\ |\ |\
Rationales
Option 1: It is important that the client understands
|\ |\ |\ |\ |\ |\ |\ |\ |\
instructions and feels comfortable asking questions for |\ |\ |\ |\ |\ |\ |\
clarification.
Option 2: |\
By keeping instructions clear, simple, and specific, the
|\ |\ |\ |\ |\ |\ |\ |\
client will be able to demonstrate understanding of what
|\ |\ |\ |\ |\ |\ |\ |\ |\
is expected.
|\
Option 3: |\
In order for the client to be successful in reaching goals
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and outcomes, he or she must have the same goals and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
focus as the nursing plan.
|\ |\ |\ |\
Option 4: |\
Realistic goals are instrumental to compliance and
|\ |\ |\ |\ |\ |\ |\
adherence in order to yield positive outcomes. |\ |\ |\ |\ |\ |\
Option 5: |\
, If the client doesn't want to engage in interventions, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse should apply critical thinking skills to determine
|\ |\ |\ |\ |\ |\ |\ |\
why and plan ways to get past this obstacle.
|\ |\ |\ |\ |\ |\ |\ |\
Which statement correctly identifies an outcome goal
|\ |\ |\ |\ |\ |\ |\
from the nursing diagnosis of "potential for skin
|\ |\ |\ |\ |\ |\ |\ |\
breakdown related to immobility"? |\ |\ |\
1. The client will have increased mobility.
|\ |\ |\ |\ |\ |\
2. The client will understand strategies for preventing skin
|\ |\ |\ |\ |\ |\ |\ |\
breakdown.
|\
3. The client will be moved periodically throughout the
|\ |\ |\ |\ |\ |\ |\ |\ |\
shift.
4. The client's skin will remain intact and healthy. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔*4. The client's skin will remain |\ |\ |\ |\ |\ |\ |\ |\
intact and healthy.* |\ |\
Rationales
Option 1: This is a goal statement for a nursing diagnosis
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of impaired mobility. It does not address skin breakdown.
|\ |\ |\ |\ |\ |\ |\ |\
Option 2: |\
This is a goal statement for a nursing diagnosis of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
knowledge deficit. This does not address skin breakdown. |\ |\ |\ |\ |\ |\ |\
Option 3: |\
|\ |\ |\ |\ |\ |\ |\
answers
Which are examples of nursing diagnoses? *Select All
|\ |\ |\ |\ |\ |\ |\ |\
That Apply.*|\
1. Risk for impaired skin/tissue integrity
|\ |\ |\ |\ |\
2. Ineffective impulse control
|\ |\ |\
3. Insufficient breast milk
|\ |\ |\
4. Renal failure
|\ |\
5. Emphysema with chronic obstructive pulmonary
|\ |\ |\ |\ |\ |\
disease (COPD) - CORRECT ANSWERS ✔✔*1. Risk for
|\ |\ |\ |\ |\ |\ |\ |\
impaired skin/tissue integrity* |\ |\
*2. Ineffective impulse control*
|\ |\ |\
*3. Insufficient breast milk*
|\ |\ |\
Rationales
Option 1: Nursing diagnoses often address risks, for
|\ |\ |\ |\ |\ |\ |\ |\
example, that a client may be prone to skin impairment.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Option 2: |\
Nursing diagnoses address the health status of clients,
|\ |\ |\ |\ |\ |\ |\ |\
which often includes how effectively they deal with their
|\ |\ |\ |\ |\ |\ |\ |\ |\
environment.
,Option 3: |\
Nursing diagnoses address the health status of clients
|\ |\ |\ |\ |\ |\ |\ |\
and include terminology such as "deficient" and
|\ |\ |\ |\ |\ |\
"insufficient." In this case, the diagnosis addresses a
|\ |\ |\ |\ |\ |\ |\ |\ |\
problem but not the pathology of it. |\ |\ |\ |\ |\ |\
Option 4: |\
Direct terms such as renal failure name the illness or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disease, which is a medical diagnosis. |\ |\ |\ |\ |\
Option 5: |\
A diagnosis of emphysema with COPD is a medical
|\ |\ |\ |\ |\ |\ |\ |\ |\
diagnosis.
When working with a postoperative bariatric client, how
|\ |\ |\ |\ |\ |\ |\ |\
can the nurse promote client participation and adherence
|\ |\ |\ |\ |\ |\ |\ |\
to the nursing plan? *Select All That Apply.*
|\ |\ |\ |\ |\ |\ |\
1. Ensure the client feels comfortable asking questions.
|\ |\ |\ |\ |\ |\ |\
2. Keep the instructions simple, clear, and as specific as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
possible.
3. Determine if the client's goals for weight loss are the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
same as those in the nursing plan.
|\ |\ |\ |\ |\ |\
4. Help the client set realistic goals.
|\ |\ |\ |\ |\ |\
5. Carry out goal implementation and interventions even
|\ |\ |\ |\ |\ |\ |\ |\
when client doesn't "feel like it." - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
,✔✔*1. Ensure the client feels comfortable asking
|\ |\ |\ |\ |\ |\ |\
questions.*
*2. Keep the instructions simple, clear, and as specific as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
possible.*
*3. Determine if the client's goals for weight loss are the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
same as those in the nursing plan.*
|\ |\ |\ |\ |\ |\
*4. Help the client set realistic goals.*
|\ |\ |\ |\ |\ |\
Rationales
Option 1: It is important that the client understands
|\ |\ |\ |\ |\ |\ |\ |\ |\
instructions and feels comfortable asking questions for |\ |\ |\ |\ |\ |\ |\
clarification.
Option 2: |\
By keeping instructions clear, simple, and specific, the
|\ |\ |\ |\ |\ |\ |\ |\
client will be able to demonstrate understanding of what
|\ |\ |\ |\ |\ |\ |\ |\ |\
is expected.
|\
Option 3: |\
In order for the client to be successful in reaching goals
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and outcomes, he or she must have the same goals and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
focus as the nursing plan.
|\ |\ |\ |\
Option 4: |\
Realistic goals are instrumental to compliance and
|\ |\ |\ |\ |\ |\ |\
adherence in order to yield positive outcomes. |\ |\ |\ |\ |\ |\
Option 5: |\
, If the client doesn't want to engage in interventions, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse should apply critical thinking skills to determine
|\ |\ |\ |\ |\ |\ |\ |\
why and plan ways to get past this obstacle.
|\ |\ |\ |\ |\ |\ |\ |\
Which statement correctly identifies an outcome goal
|\ |\ |\ |\ |\ |\ |\
from the nursing diagnosis of "potential for skin
|\ |\ |\ |\ |\ |\ |\ |\
breakdown related to immobility"? |\ |\ |\
1. The client will have increased mobility.
|\ |\ |\ |\ |\ |\
2. The client will understand strategies for preventing skin
|\ |\ |\ |\ |\ |\ |\ |\
breakdown.
|\
3. The client will be moved periodically throughout the
|\ |\ |\ |\ |\ |\ |\ |\ |\
shift.
4. The client's skin will remain intact and healthy. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔*4. The client's skin will remain |\ |\ |\ |\ |\ |\ |\ |\
intact and healthy.* |\ |\
Rationales
Option 1: This is a goal statement for a nursing diagnosis
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of impaired mobility. It does not address skin breakdown.
|\ |\ |\ |\ |\ |\ |\ |\
Option 2: |\
This is a goal statement for a nursing diagnosis of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
knowledge deficit. This does not address skin breakdown. |\ |\ |\ |\ |\ |\ |\
Option 3: |\
