Assessment reveals that a patient has lost 10 pounds in the last ...

[Deast7027]

Assessment reveals that a patient has lost 10 pounds in the last 2 months. Weight loss is one of the three defining characteristics of the diagnostic category Imbalanced nutrition: less than body requirement. Knowing this, the nurse should:
 
  A. restate the nursing diagnosis as Imbalanced nutrition: less than body requirements related to poor dietary habits.
  B. examine the assessment data to see if other signs and symptoms of altered nutrition exist.
  C. ignore the data regarding the weight loss because 10 pounds is not that much.
  D. restate the nursing diagnosis as Weight loss related to decreased food intake.

Question 2

A nurse tells a patient with a recent back injury that damage to the nerves is comparable to a water hose that has been pinched off and that time is needed to allow normal nerve transmission.
 
  During this teaching session, the nurse is using the process of: A. analogy.
  B. discovery.
  C. role-playing.
  D. demonstration.

[dellikani2015]

Answer to Question 1

B
Nursing assessment data must support the diagnostic label, and related factors must support the etiology. To collect complete, relevant, and correct assessment data, it helps to identify assessment activities to produce specific kinds of data. When reviewing assessment data, look for clusters of defining characteristics to consider if the nurse has probed and assessed the patient accurately and thoroughly.

Answer to Question 2

A
Discovery is a useful tool for teaching problem solving, application, and independent thinking. Role-playing is used to teach problem solving, application, and independent thinking. Demonstrations are useful when teaching psychomotor skills.

[Deast7027]

Thanks

[dellikani2015]

Welcome