Test Bank for Nursing Diagnosis Handbook 12th Edition Ackley ||Complete A+ Guide

Test Bank for Nursing Diagnosis Handbook 12th Edition Ackley |
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Questions and Answers
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,Nursing Diagnosis Handbook 12th Edition Ackley Test Bank
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1.
During the assessment of a client with left-sided weakness who is right-hand dominant, the
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kknurse identifies that the client needs assistance with ambulation. Which of the following
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would be the most relevant defining characteristic for the nursing diagnosis of self-care
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deficit: bathing in this client?
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a. Inability to access bathroom kk kk kk



b. Inability to dry body kk k k kk



c. Inability to wash body kk kk k k



d. Inability to regulate bath water kk kk kk k k



ANSWER: a
POINTS: 100

2.
The nurse is developing a plan of care for a client who has left-sided weakness. Since there
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kkis only a tub for bathing in the home, the nurse recognizes that there is a self-care deficit:
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kkbathing related to which of the following?
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a. Severe anxiety kk



b. Environmental barriers kk



c. Inability to perceive body part kk kk kk kk



d. Inability to perceive spatial relationships
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ANSWER: b
POINTS: 100

3.
The nurse is planning care for a client with severe dementia who becomes agitated during
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kkbathing. Which of the kk kk kk


following outcomes would be most applicable for this client‟s nursing diagnosis of self-care deficit:
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bathing?
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a. Client will state satisfaction with ability to use adaptive devices to bathe.
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b. Client will bathe self safely with minimal difficulty.
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c. Client will bathe with assistance of caregiver as needed and report satisfaction.
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d. Client will bathe with assistance without exhibiting defensive behaviors.
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ANSWER: d
POINTS: 100
4.
The nurse is developing the plan of care for a client with dementia. Which of the following
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kkinterventions should the nurse include to preserve the client‟s dignity during bathing?
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a. Provide privacy and encourage client participation.
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b. Give analgesics 30 minutes prior to bathing.
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c. Provide client with a padded shower chair.
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d. Use a prepackaged bath.
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ANSWER: a

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,POINTS: 100




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