A psychiatric nurse can make a nursing diagnosis and address it in the nursing care plan as a nursing concern when which of the following criteria are met?
a. The nursing diagnosis is probable or potential, but not yet substantiated by either objective or subjective assessment data.
b. The nursing diagnosis must be substantiated by objective assessment data.
c. The nursing diagnosis is substantiated by either objective or subjective assessment data.
d. The client does not have to agree that it is an area of nursing concern nor desire nursing treatment for it.
Question 2
For the purpose of collecting evidence, a rape victim is asked to remove her clothing. The sexual assault nurse examiner (SANE) will preserve the clothing in which way?
A) Shake clothing so that any possible evidence that may be adhering to it is not missed.
B) Place all items of clothing together in a bag for protection.
C) Store the clothing in the police department's plastic evidence collection division.
D) Seal each item of clothing separately in a dated paper bag.
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