A patient who has a nursing diagnosis of ineffective coping ...

[ishan]

A patient who has a nursing diagnosis of ineffective coping related to ineffective problem solving has been involved in treatment for 6 months. The nurse determines that the planned interventions require revision when the patient states:
 
  a. I really don't think my psychiatrist actually helps me.
  b. I can't decide if I should get my own apartment or not.
  c. I can't accept that I will never be able to comfortably make decisions.
  d. I don't think I'm liked well enough to seek election as a committee chairperson.

Question 2

The nurse responsible for the care plan of a patient diagnosed with cognitive impairment includes rationales for the nursing interventions primarily to:
 
  a. Provide a means for outcome evaluation
  b. Account for the reasoning that drives the nursing action
  c. Support the patient's success in achieving the expected outcome
  d. Provide information to aide in the implementation of the nursing action

[kjo;oj]

Answer to Question 1

ANS: B
Nursing interventions describe a specific course of action or a therapeutic activity that helps the patient to move toward a more functional state; in this case problem solving. The state-ment indicates indecision and suggests that problem solving is still a patient problem. Show-ing dislike of the physician actually shows a decision. Not accepting the realization of inef-fective decision making is not related to ineffective coping but rather shows focus on affect-ing the problem. Expressing the perception that one is not liked concerns self-esteem.

Answer to Question 2

ANS: B
Rationales primarily reflect nurses' accountability for their actions by explaining why the ac-tion is necessary and expected to positively impact the patient's condition. Rationales are not used to support or evaluate the success of the intervention nor to educate how the action should be preformed.

[ishan]

Excellent

[lkanara2]

Thanks for the timely response, appreciate it