Author Question: Number the following nursing interventions as they would proceed through the steps of the nursing ... (Read 32 times)

washai · **on:** Jul 19, 2018

Number the following nursing interventions as they would proceed through the steps of the nursing process.

1. ________ Determine if an antianxiety medication is decreasing a client's stress.
2. ________ Measure a client's vital signs and review past history.
3. ________ Encourage deep breathing and teach relaxation techniques.
4. ________ Aim, with client collaboration, for a seven-hour night's sleep.
5. ________ Recognize and document the client's problem.

Question 2

Which of the following characteristics should a nurse identify as normal in the development of human sexuality for an 11-year-old child? (Select all that apply.)

1. The child experiments with masturbation.
2. The child may experience homosexual play.
3. The child shows little interest in the opposite sex.
4. The child shows little concern about physical attractiveness.
5. The child is unlikely to want to undress in front of others.

marict · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

The correct order is 5, 1, 4, 3, 2
Rationale:
1. Measuring a client's vital signs and reviewing past history is a nursing intervention that occurs in the assessment step of the nursing process.
2. Recognizing and documenting the client's problem occurs in the nursing diagnosis step.
3. Setting a goal with client collaboration, for a seven-hour night's sleep occurs in the planning step.
4. Encouraging deep breathing and teaching relaxation techniques occur in the implementation step.
5. Determining if an antianxiety medication is decreasing a client's stress occurs in the evaluation step.

Answer to Question 2

1, 2, 5
Rationale: The nurse should identify that experimenting with masturbation and homosexual play and not wanting to undress in front of others are characteristics that are normal in the development of human sexuality in an 11-year-old child. Interest in the opposite sex usually increases, and children often become self-conscious about their bodies.