Test Bank for Nursing Diagnosis Handbook 12th Edition Ackley |
cf cf cf cf cf cf cf cf cf cf
Questions and Answers
cf cf cf
Page
,Nursing Diagnosis Handbook 12th Edition Ackley Test Bank q q q q q q q
1.
During the assessment of a client with left-sided weakness who is right-hand dominant, the nurse
cf cf cf c f cf c f cf cf cf cf cf cf cf cf
identifies that the client needs assistance with ambulation. Which of the following would be
cf cf c f c f c f c f c f c f c f c f c f c f c f c f
the most relevant defining characteristic for the nursing diagnosis of self-care deficit: bathing
c f c f c f cf c f c f c f c f c f c f c f c f c f
in this client?
c f c f c f
a. Inability to access bathroom cf c f c f
b. Inability to dry body cf c f cf
c. Inability to wash body cf cf c f
d. Inability to regulate bath water cf cf cf c f
ANSWER: a
POINTS: 100
2.
The nurse is developing a plan of care for a client who has left-sided weakness. Since there is
cf cf c f c f c f c f cf c f cf c f c f c f c f c f c f cf c f
only a tub for bathing in the home, the nurse recognizes that there is a self-care deficit: bathing
c f cf cf cf c f c f c f c f c f c f c f c f c f c f c f c f c f c f
related to which of the following?
c f c f c f c f cf cf
a. Severe anxiety cf
b. Environmental barriers cf
c. Inability to perceive body part cf c f cf c f
d. Inability to perceive spatial relationships cf cf c f c f
ANSWER: b
POINTS: 100
3.
The nurse is planning care for a client with severe dementia who becomes agitated during bathing.
cf cf c f cf cf cf c f c f c f c f c f c f c f c f cf
Which of the
c f cf cf
following outcomes would be most applicable for this client‟s nursing diagnosis of self-care deficit:
cf c f c f cf c f cf cf c f c f cf c f cf cf
bathing?
c f
a. Client will state satisfaction with ability to use adaptive devices to bathe.
cf cf c f cf c f cf cf c f cf cf c f c f
b. Client will bathe self safely with minimal difficulty.
cf cf c f cf cf cf c f cf
c. Client will bathe with assistance of caregiver as needed and report satisfaction.
cf cf c f cf c f cf cf c f c f cf c f cf
d. Client will bathe with assistance without exhibiting defensive behaviors.
cf cf cf cf cf cf c f cf cf
ANSWER: d
POINTS: 100
4.
The nurse is developing the plan of care for a client with dementia. Which of the following
cf cf cf cf c f cf cf cf cf c f cf c f cf cf cf cf
interventions should the nurse include to preserve the client‟s dignity during bathing?
cf cf c f c f c f c f c f c f c f c f c f c f
a. Provide privacy and encourage client participation.
c f cf cf c f cf c f
b. Give analgesics 30 minutes prior to bathing.
c f cf c f c f c f cf c f
c. Provide client with a padded shower chair.
c f cf c f c f cf c f c f
d. Use a prepackaged bath.
c f cf cf c f
ANSWER: a
Page
,POINTS: 100
Page
, 5.
Page
cf cf cf cf cf cf cf cf cf cf
Questions and Answers
cf cf cf
Page
,Nursing Diagnosis Handbook 12th Edition Ackley Test Bank q q q q q q q
1.
During the assessment of a client with left-sided weakness who is right-hand dominant, the nurse
cf cf cf c f cf c f cf cf cf cf cf cf cf cf
identifies that the client needs assistance with ambulation. Which of the following would be
cf cf c f c f c f c f c f c f c f c f c f c f c f c f
the most relevant defining characteristic for the nursing diagnosis of self-care deficit: bathing
c f c f c f cf c f c f c f c f c f c f c f c f c f
in this client?
c f c f c f
a. Inability to access bathroom cf c f c f
b. Inability to dry body cf c f cf
c. Inability to wash body cf cf c f
d. Inability to regulate bath water cf cf cf c f
ANSWER: a
POINTS: 100
2.
The nurse is developing a plan of care for a client who has left-sided weakness. Since there is
cf cf c f c f c f c f cf c f cf c f c f c f c f c f c f cf c f
only a tub for bathing in the home, the nurse recognizes that there is a self-care deficit: bathing
c f cf cf cf c f c f c f c f c f c f c f c f c f c f c f c f c f c f
related to which of the following?
c f c f c f c f cf cf
a. Severe anxiety cf
b. Environmental barriers cf
c. Inability to perceive body part cf c f cf c f
d. Inability to perceive spatial relationships cf cf c f c f
ANSWER: b
POINTS: 100
3.
The nurse is planning care for a client with severe dementia who becomes agitated during bathing.
cf cf c f cf cf cf c f c f c f c f c f c f c f c f cf
Which of the
c f cf cf
following outcomes would be most applicable for this client‟s nursing diagnosis of self-care deficit:
cf c f c f cf c f cf cf c f c f cf c f cf cf
bathing?
c f
a. Client will state satisfaction with ability to use adaptive devices to bathe.
cf cf c f cf c f cf cf c f cf cf c f c f
b. Client will bathe self safely with minimal difficulty.
cf cf c f cf cf cf c f cf
c. Client will bathe with assistance of caregiver as needed and report satisfaction.
cf cf c f cf c f cf cf c f c f cf c f cf
d. Client will bathe with assistance without exhibiting defensive behaviors.
cf cf cf cf cf cf c f cf cf
ANSWER: d
POINTS: 100
4.
The nurse is developing the plan of care for a client with dementia. Which of the following
cf cf cf cf c f cf cf cf cf c f cf c f cf cf cf cf
interventions should the nurse include to preserve the client‟s dignity during bathing?
cf cf c f c f c f c f c f c f c f c f c f c f
a. Provide privacy and encourage client participation.
c f cf cf c f cf c f
b. Give analgesics 30 minutes prior to bathing.
c f cf c f c f c f cf c f
c. Provide client with a padded shower chair.
c f cf c f c f cf c f c f
d. Use a prepackaged bath.
c f cf cf c f
ANSWER: a
Page
,POINTS: 100
Page
, 5.
Page
