After completing an assessment of a new client, the psychiatricmental health nurse has identified priority nursing diagnoses. Which of the following is the most accurate definition of a nursing diagnosis?
A) A clinical judgment about individual, family, or community responses to actual or potential health problems/life processes
B) A statement about client problems that can be treated by independent nursing interventions
C) A clinical judgment about individual, family, or community responses to actual health problems/life processes
D) A statement about client/community problems that can be treated by independent nursing interventions
Question 2
A nurse awaits the arrival of a client who is being transferred from another health care facility. The client has a history of schizophrenia and has been experiencing an exacerbation of symptoms.
The nurse begins preparing the plan of care by outlining expected outcomes. How should this nurse's action be interpreted?
A) It is consistent with the nursing process, because goals should be identified before interventions.
B) It is inconsistent with the nursing process, because assessment always comes first.
C) It is consistent with the nursing process, because the goals generally will be applicable to all clients with schizophrenia.
D) It is inconsistent with the nursing process, because the nurse should establish goals with the client.
The nurse needs to note the source of the patient health history
A nurse adjusts the rate of a client’s IV.
Head To Toe Assessment
Landmarks for cardiovascular assessment
Positioning of client
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...