Author Question: The nurse makes a clinical judgment about a client that is descriptive of an actual alteration in ... (Read 43 times)

tsand2 · **on:** Jul 19, 2018

The nurse makes a clinical judgment about a client that is descriptive of an actual alteration in the client's life processes. Which of the following statements is an example of the nurse's use of this step of the nursing process?

1. Administer oral medication for anxiety when anxiety is assessed to be at moder-ate level.
2. Impaired verbal communication r/t impoverished thoughts secondary to depres-sion as evidenced by monosyllabic responses.
3. Client will initiate and support conversation with nurse therapist by (date 3 weeks in future).
4. Outcome partially attained. Continue implementation of present plan.

Question 2

If asked to explain the NANDA taxonomy to another health professional, the nurse should state that it is a:

1. Hierarchic framework of human response patterns
2. Framework of functional health patterns
3. Framework for categorizing psychiatric disorders
4. Series of outcomes most influenced by nursing actions

xiazhe · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 2
The statement that is descriptive of an actual or potential alteration in a client's life processes is a nursing diagnosis. Options 1, 3, and 4 are statements that relate to other steps of the nursing pro-cess.

Answer to Question 2

ANS: 1
NANDA, in its taxonomy, has identified nine human response patterns under which nursing di-agnoses can be organized. 2. This refers to Marjory Gordon's framework. 3. The DSM-IV-TR is one framework for categorizing psychiatric disorders. 4. Nursing Outcomes Classification is concerned with outcomes.