Answer to Question 1
Ans: A
Multiple factors may underlie the client's response to education in a complex and emotionally charged situation, such as receiving a new ostomy. As a result, it is likely presumptuous to ascribe the client's response to hostility. The problem is likely modifiable with a correct approach; the evidence underlying a nursing diagnosis is not normally explicit in the statement itself. The existence of potential complications is not central to the psychosocial nature of this client's situation.
Answer to Question 2
Ans: A
The appropriately written nursing diagnosis is ineffective airway clearance related to inability to clear secretions. Ineffective health maintenance related to unhealthy habits is incorrect because it shows value judgments by the nurse. Ineffective breathing pattern related to pneumonia is incorrectly written because it includes a medical diagnosis. Ineffective therapeutic regimen management due to smoking is incorrect because the clause due to implies a direct cause-and-effect relationship.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Levels of Processing Affects Long-Term but not Short-Term Memory
Hormones acting through the brain help regulate metabolism and short- and long-term appetite.
Using small, circular strokes, exfoliate the client’s neck and back.