Answer to Question 1
ANS: B
A patient with impaired verbal communication has defining characteristics such as an inability to articulate words, inappropriate verbalization, difficulty forming words, and difficulty comprehending. Hopelessness implies that the patient has no hope for the future. Hearing loss is not a nursing diagnosis. Just because a patient has garbled speech does not mean that a hearing loss has occurred; a physical problem such as a stroke could cause the garbled speech. Self-care deficit does not apply in this situation because this usually relates to bathing, grooming, etc.
Answer to Question 2
ANS: C
The working phase occurs when the nurse and the patient work together to solve problems and accomplish goals. Pre-interaction occurs before the nurse meets the patient. Orientation occurs when the nurse and the patient meet and get to know each other. Termination occurs during the ending of the relationship.
(A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive
Choosing nursing interventions
A patient centered care approach
Building competency in patient centered care
Nursing history for nose and sinus assessment
Moderate hash may or may not be significant for diagnosis.