Nursing Diagnosis Handbook 12th Edition Ackley Test Bank.

Nursing Diagnosis Handbook 12th Edition Ackley Test Bank
p p p p p p p


1.
Duringpthepassessmentpofpapclientpwithpleft-sidedpweaknesspwhopispright-
handpdominant,pthepnursepidentifiespthatpthepclientpneedspassistancepwithpambulation.pWhichpofpthepfollowingpwoul
dpbepthepmostprelevantpdefiningpcharacteristicpforpthepnursingpdiagnosispofpself-carepdeficit:pbathingpinpthispclient?
a. Inabilityptopaccesspbathroom
b. Inabilityptopdrypbody
c. Inabilityptopwashpbody
d. Inabilityptopregulatepbathpwater
ANSWER:p a
POINTS: 100

2.
Thepnursepispdevelopingpapplanpofpcarepforpapclientpwhophaspleft-
sidedpweakness.pSinceptherepisponlypaptubpforpbathingpinpthephome,pthepnurseprecognizespthatptherepispapself-
carepdeficit:pbathingprelatedptopwhichpofpthepfollowing?
a. Severepanxiety
b. Environmentalpbarriers
c. Inabilityptopperceivepbodyppart
d. Inabilityptopperceivepspatialprelationships
ANSWER:p b
POINTS: 100

3. GRADESLAB.COM
Thepnursepispplanningpcarepforpapclientpwithpseverepdementiapwhopbecomespagitatedpduringpbathing.pWhichpofpthe
followingpoutcomespwouldpbepmostpapplicablepforpthispclient’spnursingpdiagnosispofpself-carepdeficit:pbathing?
a. Clientpwillpstatepsatisfactionpwithpabilityptopusepadaptivepdevicesptopbathe.
b. Clientpwillpbathepselfpsafelypwithpminimalpdifficulty.
c. Clientpwillpbathepwithpassistancepofpcaregiverpaspneededpandpreportpsatisfaction.
d. Clientpwillpbathepwithpassistancepwithoutpexhibitingpdefensivepbehaviors.
ANSWER:p d
POINTS: 100
4.
Thepnursepispdevelopingpthepplanpofpcarepforpapclientpwithpdementia.pWhichpofpthepfollowingpinterventionspshouldpth
epnursepincludeptoppreservepthepclient’spdignitypduringpbathing?
a.p Providepprivacypandpencouragepclientpparticipation.
b.pGivepanalgesicsp30pminutesppriorptopbathing.
c.p Providepclientpwithpappaddedpshowerpchair.
d.pUsepapprepackagedpbath.
ANSWER:p a
POINTS: 100

5.
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,Inpplanningpcarepforpapclientpwithpdementia,pthepnursepshouldptrainpcaregiverspbathingpthepclientptopusepwhichpof




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,thepfollowingpbehaviorsptopreducepaggressionpinpthepclient?
a.p Avoidppriorpcueingpforpclient.
b.pIncreasepthepspeedpofpthepbath.
c.p Preparepclientpbeforepwaterpspray.
d.pWashpclient’sphairpandpfacepfirst.
ANSWER:p c
POINTS: 100

6.
Thepnursepispplanningpcarepforpapclientpwhophaspsevereparthritispandphaspveryplimitedpfinepmotorphandpdexterity.p
Whichpofpthepfollowingpwouldpthepnursepidentifypaspthepmostprelevantpdefiningpcharacteristicpforpthispclientpforpt
hepnursingpdiagnosispofpself-carepdeficit:pdressing?
a.p Inabilityptopchoosepclothing
b.pInabilityptopmaintainpappearance
c.p Inabilityptopusepzippers
d.pImpairedpabilityptopobtainpclothing
ANSWER:p c
POINTS: 100

7.
Thepnursepispdevelopingpapplanpofpcarepforpapclientpwhophaspadvancedpdementia.pThepnurseprecognizespthatptherepisp
apself-carepdeficit:pdressingprelatedptopwhichpofpthepfollowing?
a.p Anxiety GRADESLAB.COM
b.pCognitivepimpairment
c.p Environmentalpbarriers
d.pWeakness
pANSWER:pbpPO


INTS: 100

8.
Thepnursepispplanningpcarepduringprehabilitationpforpapclientpwhopexperiencedpleft-
sidedpweaknesspfollowingpapstroke.pWhichpofpthepfollowingpoutcomespwouldpbepthepmostpdesirablepforpthispclient’sp
nursingpdiagnosispofpself-pcarepdeficit:pdressing?
a.p Clientpwillpdresspandpgroompselfptopoptimalppotential.
b.pClientpwillpidentifyptypespofpassistiveptechnology.
c.p Clientpwillpbepdressedpbypapcaregiver.
d.pClientpwillpexploreppotentialpbarriersptopdressing.
ANSWER:p a
POINTS: 100

9.
Apclientphadpaprecentpfallpandphaspresidualpdizziness.pWhatpactionpbypthepnursepbestppromotespsafetypforpthepclientpdu
ringpdressing?
a.p Havepthepclientpsitpforpaspmuchpdressingpasppossible.
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, b.pPerformpthepmajoritypofpdressingpforpthepclient.
c.p Teachpthepclientptopholdpthepbedpwithponephand.
d.pUsepapgaitpbeltpinpcaseptheppatientpfallspduringpdressing.
ANSWER:p a
POINTS: 100

10.
Thepnursepispteachingpapclientpwhophaspright-
sidedpweaknesspdueptopapstrokepmethodspforpeasierpdressing.pWhichpofpthepfollowingpinterventionspshouldpthepnurs
epincludepinpthispteachingpsession?
a.p Standpwhilepdressing.
b.pUsepclothingpthatpfastenspinpthepback.
c.p Usepsmartpmachine-basedpprompting.
d.pDresspthepaffectedpsidepfirst.
ANSWER:p d
POINTS: 100

11.
ThepnursepispplanningpcarepforpapclientpwhophaspParkinson’spdiseasepwithpseverephandptremors.pWhichpofpthepf
ollowingpwouldpthepnursepidentifypaspthepmostprelevantpdefiningpcharacteristicpforpthispclientpforpthepnursingpdi
agnosispofpself-carepdeficit:pfeeding?
a.p Inabilityptopcookpfood
b.pInabilityptopchewpfood
c.p Inabilityptopbringpfoodptopmouth
GRADESLAB.COM
d.pImpairedpabilityptopmanipulatepfoodpinpmouth
ANSWER:p c
POINTS: 100

12.
Thepnursepispdevelopingpapplanpofpcarepforpapright-
handpdominantpclientpwhophadpaprightprotatorpcuffprepair.pThepnurseprecognizespthatptherepispapself-
carepdeficit:pfeedingprelatedptopwhichpofpthepfollowing?
a.p Environmentalpbarriers
b.pMusculoskeletalpimpairment
c.p Neuromuscularpimpairment
d.pPerceptualpimpairment
ANSWER:p b
POINTS: 100

13.
Thepnursepispplanningpcarepforpapclientpwhopispleft-handpdominantpandpispexperiencingpright-
sidedpweaknesspandpapfrequentpcoughpfollowingpapstroke.pWhichpofpthepfollowingpoutcomespwouldpbepthepmostpdes
irablepforpthis
client’spnursingpdiagnosispofpself-carepdeficit:pfeeding?
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