Author Question: A nurse is formulating a nursing diagnosis. What is an example of an appropriately written nursing ... (Read 102 times)

RYAN BANYAN · **on:** Jul 11, 2018

A nurse is formulating a nursing diagnosis. What is an example of an appropriately written nursing diagnosis?

a. Risk for impaired skin integrity related to physical immobilization
b. Physical immobilization secondary to risk for impaired skin integrity
c. Risk for impaired skin integrity related to diagnosis of decubitus ulcers
d. Physical immobilization secondary to decreased cognitive ability

Question 2

The nurse is caring for a Mexican American patient. What nursing intervention would best demonstrate cultural sensitivity?

a. Encouraging consultation of male members of the family regarding health care decisions
b. Discouraging consultation of male members of the family regarding health care decisions
c. Insisting on providing all personal care required by the patient
d. Asking only female family members about health care decisions

Anton · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A
Risk for impaired skin integrity related to physical immobilization is the only appropriately written nursing diagnosis. All other options are not listed as NANDA-I approved nursing diagnoses.

Answer to Question 2

ANS: A
When caring for Mexican Americans, families may expect to help care for the patient. Male family members usually are consulted before health care decisions are made.