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Exam (elaborations)

CDM FINAL EXAM NCLEX Questions Answered Summer 2023.

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Self Care Deficit: Dressing 1. The nurse is planning care for a client who has severe arthritis and has very limited fine motor hand dexterity. Which of the following would the nurse identify as the most relevant defining characteristic for this client for the nursing diagnosis of Self-Care Deficit: Dressing? a. Inability to choose clothing b. Inability to maintain appearance c. Inability to use zippers d. Impaired ability to obtain clothing 2. The nurse is developing a plan of care for a client who has advanced dementia. The nurse recognizes that there is a Self-Care Deficit: Dressing related to which of the following? a. Anxiety b. Cognitive impairment c. Environmental barriers d. Weakness 3. The nurse is planning care during rehabilitation for a client who experienced left sided weakness following a stroke. Which of the following outcomes would be the most desirable for this client’s nursing diagnosis of Self-Care Deficit: Dressing? a. Client will dress and groom self to optimal potential. b. Client will identify types of assistive technology. c. Client will be dressed by a caregiver. d. Client will explore potential barriers to dressing. 4. A client had a recent fall and has residual dizziness. What action by the nurse best promotes safety for the client during dressing? a. Have the client sit for as much dressing as possible. b. Perform the majority of dressing for the client. c. Teach the client to hold the bed with one hand. d. Use a gait belt in case the patient falls during dressing. 5. The nurse is teaching a client who has right sided weakness due to a stroke methods for easier dressing. Which of the following interventions should the nurse include in this teaching session? a. Stand while dressing. b. Use clothing that fastens in the back. c. Use smart machine-based prompting. d. Dress the affected side first. Self Care Deficit: Feeding 6. The nurse is planning care for a client who has Parkinson’s disease with severe hand tremors. Which of the following would the nurse identify as the most relevant defining characteristic for this client for the nursing diagnosis of Self-Care Deficit: Feeding? a. Inability to cook food b. Inability to chew food c. Inability to bring food to mouth d. Impaired ability to manipulate food in mouth 7. The nurse is developing a plan of care for a right hand dominant client who had a right rotator cuff repair. The nurse recognizes that there is a Self-Care Deficit: Feeding related to which of the following? a. Environmental barriers b. Musculoskeletal impairment c. Neuromuscular impairment d. Perceptual impairment 8. The nurse is planning care for a client who is left hand dominant and is experiencing right sided weakness and a frequent cough following a stroke. Which of the following outcomes would be the most desirable for this client’s nursing diagnosis of Self-Care Deficit: Fee

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Uploaded on
August 2, 2023
Number of pages
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Written in
2023/2024
Type
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