A student nurse asks an instructor which resource is best to use ...

[Alainaaa8]

A student nurse asks an instructor which resource is best to use when developing nursing outcomes for clients. Which reply by the instructor most accurately answers the student's question?
 
  A. Use the Nursing Interventions Classification (NIC), as a reference for nursing outcomes.
  B. Use the NANDA resource to identify appropriate outcomes.
  C. Use the Nursing Outcomes Classification (NOC), as a reference for nursing outcomes.
  D. Copy your standard outcomes from a nursing care plan textbook.

Question 2

The following North American Nursing Diagnosis Association (NANDA) nursing diagnostic stem was developed for a client on an inpatient unit: Risk for injury. What assessment data most likely led to the development of this problem statement?
 
  A. The client is receiving electroconvulsive therapy (ECT) and is diagnosed with Parkinsonism.
  B. The client has a history of four suicide attempts in adolescence.
  C. The client expresses hopelessness and helplessness and isolates self.
  D. The client has disorganized thought processes and delusional thinking.

[ciecieme]

Answer to Question 1

ANS: C
NOC is a comprehensive, standardized classification of client outcomes developed to evaluate the effects of nursing interventions. NANDA is a resource for identifying approved nursing diagnoses.

Answer to Question 2

ANS: A
The nurse should identify that a client receiving ECT and who is diagnosed with Parkinsonism is at risk for injury due to confusion and potential for falls. History of suicide and hopelessness would lead to the development of nursing diagnosis of risk for suicide. Disorganized thoughts and delusional thinking would lead to the development of a nursing diagnosis of altered thought processes.