Author Question: A client being discharged after a myocardial infarction has been prescribed several new medications ... (Read 97 times)

cherise1989 · **on:** Jul 23, 2018

A client being discharged after a myocardial infarction has been prescribed several new medications and a low-fat diet. The client states: I'm never going to understand what to do, when to do it, and why I should be doing all these things.

Which nursing diagnosis should the nurse formulate for this client?
1. Health-Seeking Behavior related to desire to prevent heart problems
2. Deficient Knowledge (diet and medication regimen) related to inexperience
3. Noncompliance related to situational factors
4. Risk for Myocardial Infarction related to deficient knowledge

Question 2

The nursing diagnosis Readiness for Enhanced Knowledge (Nutrition) related to desire to improve nutritional intake has been formulated for a client who has decided to change his eating habits to be more nutritionally sound.

What would be an appropriate outcome for this client?
1. Client will understand the importance of eating healthy.
2. Client will be able to lose weight.
3. Client will list foods that are nutritionally sound, low fat, and high fiber.
4. Client will appreciate the value of using the Food Guide Pyramid.

dantucker · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Health-Seeking Behavior is a diagnostic label used when the client is seeking health information.
Rationale 2: The NANDA label Deficient Knowledge is used when the client is seeking health information or when the nurse has identified a learning need, as in this case. The area of deficiency (diet and medication regimen) should always be included in the diagnosis.
Rationale 3: Noncompliance is used when the client or caregiver fails to follow a plan, which is too early to tell in this case.
Rationale 4: Risk for Myocardial Infarction is not a NANDA label. If a risk exists, the label could be Risk for Noncompliance related to deficient knowledge.

Answer to Question 2

Correct Answer: 3
Rationale 1: Learning outcomes, like client outcomes, must be specific and observable so they can be measured. Words like understand are not measurable and are not observable.
Rationale 2: Be able to lose weight is not specific enough, and with the information given, it is not known if that is really what the client wants to attain.
Rationale 3: Learning outcomes, like client outcomes, must be specific and observable so they can be measured.
Rationale 4: Words like appreciate are not measurable and are not observable.