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nursing process ppt

review from 8/30/11

QuestionAnswer
A client interview consists of three phases. Orientation, working, termination
Which subjective assessment data are most supportive of a client’s diagnosis of anxiety? Claims “something is terribly wrong”
an example of an appropriately written nursing diagnosis Ineffective airway clearance related to increased secretions
Identify the defining characteristics in the following nursing diagnosis: Altered speech related to recent neurological disturbance, as evidenced by inability to speak in complete sentences. “Inability to speak in complete sentences”
In order that they are clear and easily understood by other members of the health care team, the nurse recognizes that client goals or outcomes should be documented according to specific criterion. Client’s respiratory rate will remain within 20 to 24 breaths per minute by 9/24.”
Which of the following is the best example of an intermediate prioritized client need for a client diagnosed with risk of injury related to poor skin integrity? Providing sufficient quantities of an aloe-based skin lotion
An example of a cognitive nursing skill is: Recognizing the potential complications of a blood transfusion
Cognitive skills involve the application of nursing knowledge. Understanding normal and abnormal physiological and psychological responses is a cognitive skill, as in recognizing the potential complications of a blood transfusion. :)
example of an indirect intervention directed towards client safety? Turning on a night light to illuminate the path to the bathroom
The nurse has determined the following outcome for a client with a skin impairment: “Erythema will be reduced in 3 days.” Evaluation will specifically focus on: Inspection of the color and condition of the area
Created by: koolkidsrw
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