Test Bank for Nursing Diagnosis Handbook 12th Edition Ackley |
Questions and Answers
Page q
1
,Nursing Diagnosis Handbook 12th Edition Ackley Test Bank
q q q q q q q
1.
During qthe qassessment qof qa qclient qwith qleft-sided qweakness qwho qis qright-hand qdominant, qthe qnurse qidentifies
qthat qthe qclient qneeds qassistance qwith qambulation. qWhich qof qthe qfollowing qwould qbe qthe qmost qrelevant
qdefining qcharacteristic qfor qthe qnursing qdiagnosis qof qself-care qdeficit: qbathing qin qthis qclient?
a. Inability qto qaccess qbathroom
b. Inability qto qdry qbody
c. Inability qto qwash qbody
d. Inability qto qregulate qbath qwater
ANSWER: q a
POINTS: 100
2.
The qnurse qis qdeveloping qa qplan qof qcare qfor qa qclient qwho qhas qleft-sided qweakness. qSince qthere qis qonly qa qtub
qfor qbathing qin qthe qhome, qthe qnurse qrecognizes qthat qthere qis qa qself-care qdeficit: qbathing qrelated qto qwhich qof
qthe qfollowing?
a. Severe qanxiety
b. Environmental qbarriers
c. Inability qto qperceive qbody qpart
d. Inability qto qperceive qspatial qrelationships
ANSWER: q b
POINTS: 100
3.
The qnurse qis qplanning qcare qfor qa qclient qwith qsevere qdementia qwho qbecomes qagitated qduring qbathing. qWhich
qof qthe
following qoutcomes qwould qbe qmost qapplicable qfor qthis qclient’s qnursing qdiagnosis qof qself-care qdeficit: qbathing?
a. Client qwill qstate qsatisfaction qwith qability qto quse qadaptive qdevices qto qbathe.
b. Client qwill qbathe qself qsafely qwith qminimal qdifficulty.
c. Client qwill qbathe qwith qassistance qof qcaregiver qas qneeded qand qreport qsatisfaction.
d. Client qwill qbathe qwith qassistance qwithout qexhibiting qdefensive qbehaviors.
ANSWER: q d
POINTS: 100
4.
The qnurse qis qdeveloping qthe qplan qof qcare qfor qa qclient qwith qdementia. qWhich qof qthe qfollowing qinterventions
qshould qthe qnurse qinclude qto qpreserve qthe qclient’s qdignity qduring qbathing?
a. q Provide qprivacy qand qencourage qclient qparticipation.
b. qGive qanalgesics q30 qminutes qprior qto qbathing.
c. q Provide qclient qwith qa qpadded qshower qchair.
d. qUse qa qprepackaged qbath.
ANSWER: q a
POINTS: 100
Page q
2
,5.
Page q
3
, In qplanning qcare qfor qa qclient qwith qdementia, qthe qnurse qshould qtrain qcaregivers qbathing qthe qclient qto quse qwhich
qof
Page q
4
Questions and Answers
Page q
1
,Nursing Diagnosis Handbook 12th Edition Ackley Test Bank
q q q q q q q
1.
During qthe qassessment qof qa qclient qwith qleft-sided qweakness qwho qis qright-hand qdominant, qthe qnurse qidentifies
qthat qthe qclient qneeds qassistance qwith qambulation. qWhich qof qthe qfollowing qwould qbe qthe qmost qrelevant
qdefining qcharacteristic qfor qthe qnursing qdiagnosis qof qself-care qdeficit: qbathing qin qthis qclient?
a. Inability qto qaccess qbathroom
b. Inability qto qdry qbody
c. Inability qto qwash qbody
d. Inability qto qregulate qbath qwater
ANSWER: q a
POINTS: 100
2.
The qnurse qis qdeveloping qa qplan qof qcare qfor qa qclient qwho qhas qleft-sided qweakness. qSince qthere qis qonly qa qtub
qfor qbathing qin qthe qhome, qthe qnurse qrecognizes qthat qthere qis qa qself-care qdeficit: qbathing qrelated qto qwhich qof
qthe qfollowing?
a. Severe qanxiety
b. Environmental qbarriers
c. Inability qto qperceive qbody qpart
d. Inability qto qperceive qspatial qrelationships
ANSWER: q b
POINTS: 100
3.
The qnurse qis qplanning qcare qfor qa qclient qwith qsevere qdementia qwho qbecomes qagitated qduring qbathing. qWhich
qof qthe
following qoutcomes qwould qbe qmost qapplicable qfor qthis qclient’s qnursing qdiagnosis qof qself-care qdeficit: qbathing?
a. Client qwill qstate qsatisfaction qwith qability qto quse qadaptive qdevices qto qbathe.
b. Client qwill qbathe qself qsafely qwith qminimal qdifficulty.
c. Client qwill qbathe qwith qassistance qof qcaregiver qas qneeded qand qreport qsatisfaction.
d. Client qwill qbathe qwith qassistance qwithout qexhibiting qdefensive qbehaviors.
ANSWER: q d
POINTS: 100
4.
The qnurse qis qdeveloping qthe qplan qof qcare qfor qa qclient qwith qdementia. qWhich qof qthe qfollowing qinterventions
qshould qthe qnurse qinclude qto qpreserve qthe qclient’s qdignity qduring qbathing?
a. q Provide qprivacy qand qencourage qclient qparticipation.
b. qGive qanalgesics q30 qminutes qprior qto qbathing.
c. q Provide qclient qwith qa qpadded qshower qchair.
d. qUse qa qprepackaged qbath.
ANSWER: q a
POINTS: 100
Page q
2
,5.
Page q
3
, In qplanning qcare qfor qa qclient qwith qdementia, qthe qnurse qshould qtrain qcaregivers qbathing qthe qclient qto quse qwhich
qof
Page q
4
