A client who has to undergo a parathyroidectomy is worried that ...

[crazycityslicker]

A client who has to undergo a parathyroidectomy is worried that he may have to wear a scarf around his neck after surgery. What nursing diagnosis should the nurse document in the care plan?
 
  A) Risk for impaired physical mobility due to surgery
  B) Ineffective denial related to poor coping mechanisms
  C) Disturbed body image related to the incision scar
  D) Risk of injury related to surgical outcomes

Question 2

A nurse who is caring for an unresponsive client formulates the nursing diagnosis, Risk for Aspiration related to reduced level of consciousness.
 
  The nurse documents this nursing diagnosis as correct based on the understanding that which of the following is a characteristic of this type of diagnosis?
 
  A) Is written as a two-part statement
  B) Describes human response to a health problem
  C) Describes potential for enhancement to a higher state
  D) Made when not enough evidence supports the problem

[soda0602]

Answer to Question 1

Ans: C

The client is concerned about the surgery scar on his neck, which would disturb his body image; therefore, the appropriate diagnosis should be disturbed body image related to the incision scar. Risk for impaired physical mobility may be present after surgery, but is not related to the concerns expressed by the client. Likewise, ineffective denial related to poor coping mechanisms, and injury related to surgical outcomes are also not related to the client's concern.

Answer to Question 2

Ans: A

The risk diagnoses are written as two-part statements because they do not include defining characteristics. An actual nursing diagnosis describes human response to a health problem. Wellness diagnoses describe potential for enhancement to a higher state. A possible nursing diagnosis is made when not enough evidence supports the problem.

[crazycityslicker]

Excellent

[mcabuhat]

Gracias!