Person-Centered Care and the Nursing
Process comprehensive terminologies with
their certified meanings and thorough
revision questions covering the whole topic
with correct answers provided #A+ #2025
Safety/Protection—>Terminology for Writing Nursing Diagnoses - correct answers-Domain 11:
Safety/Protection
Definition
Freedom from danger, physical injury, or immune system damage; preservation from loss; and
protection of safety and security
❑. Infection
•Risk for infection
•Risk for surgical site infection
❑. Physical Injury
Ineffective airway clearance
•Risk for aspiration
•Risk for bleeding
•Impaired dentition
•Risk for dry eye
,•Risk for dry mouth
Risk for falls
•Risk for corneal injury
•Risk for injury
Risk for urinary tract injury
Risk for perioperative positioning injury
•Risk for thermal injury
•Impaired oral mucous membrane integrity
•Risk for impaired oral mucous membrane integrity
Risk for peripheral neurovascular dysfunction
•Risk for physical trauma
•Risk for vascular trauma
•Risk for pressure ulcer
•Risk for shock
Impaired skin integrity
•Risk for impaired skin integrity
Risk for sudden infant death
•Risk for suffocation
•Delayed surgical recovery
•Risk for delayed surgical recovery
•Impaired tissue integrity
•Risk for impaired tissue integrity
•Risk for venous thromboembolism
❑Violence
•Risk for female genital mutilation
,•Risk for other-directed violence
•Risk for self-directed violence
•Self-mutilation
•Risk for self-mutilation
•Risk for suicide
❑. Environmental Hazards
•Contamination
•Risk for contamination
•Risk for occupational injury
•Risk for poisoning
Class 5. Defensive Processes
•Risk for adverse reaction to iodinated contrast media
•Risk for allergy reaction
•Latex allergy reaction
•Risk for latex allergy reaction
❑ Thermoregulation
•Hypothermia
•Hyperthermia
•Risk for hypothermia
•Risk for perioperative hypothermia
•Ineffective thermoregulation
•Risk for ineffective thermoregulation
, CHAPTER 15 Diagnosing. • ❑
Coping/Stress Tolerance—>Terminology for Writing Nursing Diagnoses - correct answers-
CHAPTER 15 Diagnosing. • ❑
A nurse is obtaining a weekly weight for a client who has obesity and osteoarthritis and is on a
weight management program. The nurse determines that the client gained 1.36 kg (3 lb) in the
past week. Which of the following statements should the nurse make?
"You should try a little harder to stick to your diet."
"Why do you think you've gained 3 pounds this week?"
"Were there any issues last week that kept you from focusing on your diet?"
"You should put this week behind you and adhere to your diet from this point forward." -
correct answers-"You should try a little harder to stick to your diet."
The nurse should avoid directing blame towards the client, which can result in a defensive
response and decreased motivation.
"Why do you think you've gained 3 pounds this week?"
The nurse should avoid the use of "why" questions, which can promote a defensive client
response.
"Were there any issues last week that kept you from focusing on your diet?"
The nurse should use an open-ended question that allows the client to reassess the past week
in a non-threatening manner. The nurse's statement demonstrates concern without placing
blame. The nurse should explain to the client that relapse is a normal part of making a behavior
change, and that physical and emotional stress can play a part in his motivational level.
Process comprehensive terminologies with
their certified meanings and thorough
revision questions covering the whole topic
with correct answers provided #A+ #2025
Safety/Protection—>Terminology for Writing Nursing Diagnoses - correct answers-Domain 11:
Safety/Protection
Definition
Freedom from danger, physical injury, or immune system damage; preservation from loss; and
protection of safety and security
❑. Infection
•Risk for infection
•Risk for surgical site infection
❑. Physical Injury
Ineffective airway clearance
•Risk for aspiration
•Risk for bleeding
•Impaired dentition
•Risk for dry eye
,•Risk for dry mouth
Risk for falls
•Risk for corneal injury
•Risk for injury
Risk for urinary tract injury
Risk for perioperative positioning injury
•Risk for thermal injury
•Impaired oral mucous membrane integrity
•Risk for impaired oral mucous membrane integrity
Risk for peripheral neurovascular dysfunction
•Risk for physical trauma
•Risk for vascular trauma
•Risk for pressure ulcer
•Risk for shock
Impaired skin integrity
•Risk for impaired skin integrity
Risk for sudden infant death
•Risk for suffocation
•Delayed surgical recovery
•Risk for delayed surgical recovery
•Impaired tissue integrity
•Risk for impaired tissue integrity
•Risk for venous thromboembolism
❑Violence
•Risk for female genital mutilation
,•Risk for other-directed violence
•Risk for self-directed violence
•Self-mutilation
•Risk for self-mutilation
•Risk for suicide
❑. Environmental Hazards
•Contamination
•Risk for contamination
•Risk for occupational injury
•Risk for poisoning
Class 5. Defensive Processes
•Risk for adverse reaction to iodinated contrast media
•Risk for allergy reaction
•Latex allergy reaction
•Risk for latex allergy reaction
❑ Thermoregulation
•Hypothermia
•Hyperthermia
•Risk for hypothermia
•Risk for perioperative hypothermia
•Ineffective thermoregulation
•Risk for ineffective thermoregulation
, CHAPTER 15 Diagnosing. • ❑
Coping/Stress Tolerance—>Terminology for Writing Nursing Diagnoses - correct answers-
CHAPTER 15 Diagnosing. • ❑
A nurse is obtaining a weekly weight for a client who has obesity and osteoarthritis and is on a
weight management program. The nurse determines that the client gained 1.36 kg (3 lb) in the
past week. Which of the following statements should the nurse make?
"You should try a little harder to stick to your diet."
"Why do you think you've gained 3 pounds this week?"
"Were there any issues last week that kept you from focusing on your diet?"
"You should put this week behind you and adhere to your diet from this point forward." -
correct answers-"You should try a little harder to stick to your diet."
The nurse should avoid directing blame towards the client, which can result in a defensive
response and decreased motivation.
"Why do you think you've gained 3 pounds this week?"
The nurse should avoid the use of "why" questions, which can promote a defensive client
response.
"Were there any issues last week that kept you from focusing on your diet?"
The nurse should use an open-ended question that allows the client to reassess the past week
in a non-threatening manner. The nurse's statement demonstrates concern without placing
blame. The nurse should explain to the client that relapse is a normal part of making a behavior
change, and that physical and emotional stress can play a part in his motivational level.
