Answer to Question 1
C
Assessment is a continuous process that occurs each time the nurse interacts with a patient. During the initial phase of implementation, reassess the patient. Determining the patient's goals and prioritizing diagnoses take place in the planning phase before choosing interventions. Assessing for a patent airway may or may not be a given patient's first intervention, depending on the goals, priority diagnosis, and reassessment findings of the patient.
Answer to Question 2
C
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A Health is considered to be more than merely the absence of disease.
B The definition of health has broadened beyond the physiological state to include mental, social, and spiritual well-being.
C The most commonly cited definition of health is from the World Health Organization and is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity. The nurse should consider the total person when formulating a definition of health. Health is a positive concept emphasizing social and personal resources, as well as physical capacities.
D An individual who is able to pursue ADLs may not define himself or herself as healthy. Life conditions such as environment, diet, and lifestyle practices may negatively affect one's health long before one is unable to perform ADLs.
Nurses may collaborate with social workers, physicians, and other members of the health care team to
Patient teaching: lung assessment
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Areas of sclerosis (see arrows) in the white matter of a patient with MS.
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