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Author Question: The patient expresses a desire to learn methods to be independent regarding self-care. Based on ... (Read 58 times)

anshika

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on: Jul 23, 2018
The patient expresses a desire to learn methods to be independent regarding self-care. Based on this, the most appropriate nursing diagnosis would be:
 
  a. ineffective health maintenance.
  b. readiness for enhanced self-care.
  c. hygiene self-care deficit.
  d. disturbed body image.

Question 2

Which tool is used to determine risk for impaired skin integrity?
 
  a. Braden scale
  b. Glasgow scale
  c. Vanderbilt scale
  d. MMSE scale


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aadams68

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Readiness for enhanced self-care is evidenced by a patient expressing a desire to be independent in ADLs. Ineffective health maintenance is an inability to maintain health, hygiene self-care deficit indicates they are unable to perform hygiene, and disturbed body image relates to how they view their body.

Answer to Question 2

ANS: A
The Braden scale is used to determine risk for impaired skin integrity: The Glasgow is a coma scale, the Vanderbilt is a behavior scale, and the MMSE is the mini-mental exam to determine cognitive status.


anshika

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Reply 2 on: Jul 23, 2018
Gracias!

bigsis44

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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