Author Question: The nurse is caring for a Vietnamese-American admitted to the intensive care unit as a result of ... (Read 72 times)

soccerdreamer_17 · **on:** Jul 23, 2018

The nurse is caring for a Vietnamese-American admitted to the intensive care unit as a result of malnutrition. The patient is unable to walk because of his malnutrition,

and he has developed a pressure ulcer from lying in bed constantly without changing positions. The family believes that the patient is depressed and that is why he stopped getting up. When planning this patient's care, the nurse should:
a.
develop multiple nursing diagnoses.
b.
develop only one nursing diagnosis to aid in focusing.
c.
focus on the physical issues facing this patient.
d.
deal primarily with the patient's psychological needs.

Question 2

The nurse has identified several problems for a patient scheduled for a bone marrow transplant. By formulation of nursing diagnoses, the nurse:

a. embraces cook book medicine and rejects professional autonomy.
b. uses a language that is difficult to interpret by legislators.
c. is able to communicate with other nurses but not other disciplines.
d. facilitates communication of patient needs and promotes accountability.

sierramartinez · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Analysis of patient assessment data may yield several clusters of related data or cues. It is common to apply several nursing diagnostic statements to one patient. This is especially true for acutely ill patients with multiple problems related to complex physical or psychological needs.

Answer to Question 2

ANS: D
Nursing diagnosis is the second step of the nursing process. Formulation of nursing diagnoses follows patient data collection and involves the analysis and clustering of related assessment information. The use of nursing diagnosis labels facilitates clear communication of patient needs and promotes professional accountability and autonomy by defining and describing the independent area of nursing practice. Nursing diagnostic statements clearly communicate to legislators, consumers, and insurance providers the unique care nurses deliver and the specific nature of the health conditions they treat. Use of a unified language classification system, or taxonomy, is an effective vehicle for communication among nurses and other health care professionals.