Author Question: The nurse is making a home visit to an older adult who has severe rheumatoid arthritis with flexion ... (Read 38 times)

saliriagwu · **on:** Jul 22, 2018

The nurse is making a home visit to an older adult who has severe rheumatoid arthritis with flexion contractures of all four extremities. She is confined to bed. What nursing diagnosis is appropriate in relation to safety?

a. Risk for Poisoning c. Risk for Trauma
b. Risk for Suffocation d. Risk for Disuse Syn-drome

Question 2

Which statement is not true regarding nursing diagnosis?

a. A nursing diagnosis is the same as a medical diagnosis.
b. Nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable.
c. A nursing diagnosis focuses on the responses to actual or potential health problems; a medical diagnosis focuses on the illness, injury, or disease.
d. Nursing diagnoses change as the client's health problems change.

batool · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Risk for Disuse Syndrome applies to a patient at risk for the deterioration of body or body systems as the result of prescribed or unavoidable musculoskeletal inactivity. There is no evidence to support that this patient would be at risk for poisoning, suffocation, or trauma.

Answer to Question 2

A
A nursing diagnosis is not the same as a medical diagnosis. Nursing diagnosis focuses on the responses to actual or potential health problems or life processes. They also change as the patient's response and/or health problem changes. Nursing diagnosis identifies situations in which the nurse is licensed and qualified to intervene.