Author Question: The nurse shows an understanding of the appropriate use of nursing outcomes regarding triggers for a ... (Read 73 times)

wrbasek0 · **on:** Jul 19, 2018

The nurse shows an understanding of the appropriate use of nursing outcomes regarding triggers for a patient diagnosed with chronic alcohol abuse when stating:

a. Can you work on identifying three situations that cause you to abuse alcohol?
b. I'll help you to identify three triggers for your drinking during today's session.
c. I'm pleased you've identified three situations that trigger your abuse of alcohol.
d. Do you think you will be able to avoid the three triggers that cause you to drink?

Question 2

A depressed patient shares with the nurse that he, has been thinking about ending it all. Based on NANDA recommendations, the nurse:

a. Implements suicide precautions for this patient
b. Includes Risk for Self Harm' to the patient's care plan
c. Documents regarding the patient's safety every 15 minutes
d. Reviews the patient's chart for references to past incidences of hopeless

dreamfighter72 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
Outcomes sometimes referred to as behavioral goals are used to describe and evaluate the effectiveness of nursing interventions. The correct option shows that the patient was suc-cessful at accomplishing an outcome inferring the nursing interventions were successful. The remaining options do not indicate an evaluation of success or failure.

Answer to Question 2

ANS: B
NANDA states that a nurse is able to change any actual diagnosis on the NANDA list to a risk diagnosis if the problem has not occurred yet. The remaining options, although not inap-propriate, do not related to NANDA.