The nurse is beginning an assessment with a pregnant patient from ...

[sjones]

The nurse is beginning an assessment with a pregnant patient from a non-English-speaking culture. The interpreter is having difficulty understanding what the patient is trying to say and the patient is becoming frustrated.
 
  Which nursing diagnosis would be the most appropriate for this situation? A) Fear
  B) Anxiety
  C) Powerlessness
  D) Impaired verbal communication

Question 2

Part of the health assessment of a newborn includes observing his or her breathing pattern. A full-term newborn's breathing pattern is primarily:
 
  A. deep with a regular rhythm.
  B. diaphragmatic with chest retraction.
  C. chest breathing with nasal flaring.
  D. abdominal with synchronous chest movements.

[meltdown117]

Answer to Question 1

D
Feedback:
For this patient, impaired verbal communication is because of the frustration that is occurring between the patient, interpreter, and the nurse. There is no evidence to support the diagnoses of fear, anxiety, or powerlessness with this patient.

Answer to Question 2

D
Because neonatal respirations are abdominal or diaphragmatic, the nurse visually observes the rise and fall of the baby's abdomen. Movement of the chest and abdomen should be syn-chronous. Nasal flaring and chest retractions are signs of respiratory distress.