The nurse is reviewing information about the formulation of ...

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The nurse is reviewing information about the formulation of nursing diagnoses. What should the nurse identify as the area in which nursing diagnoses differ from medical diagnoses and collaborative problems?
 
  1. Mental status of the client
  2. Chronic nature of the illness
  3. Nursing care focus
  4. Prognosis

Question 2

The nurse has formulated a nursing diagnosis of Impaired skin integrity related to poor hygienic practice, secondary to current living conditions for a client. Which data did the nurse use to support this diagnosis?
 
  1. The client has dry, cracked skin.
  2. The client has one large and several smaller open, ulcerated areas on his right leg.
  3. The client does not drive.
  4. The client states that he does not use alcohol or drugs.
  5. The client's clothes are soiled.
  6. The client has obvious body odor.

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Answer to Question 1

Correct Answer: 3
Rationale 1: This is not considered and so is not an area of difference.
Rationale 2: This is not considered and so is not an area of difference.
Rationale 3: Nursing focus is an area that differs.
Rationale 4: This is not considered and so is not an area of difference.

Answer to Question 2

Correct Answer: 1, 2, 5, 6
Rationale 1: Data that support this problem are clustered around the condition of the client's skin.
Rationale 2: Data that support this problem are clustered around the condition of the client's skin.
Rationale 3: The fact that the client does not drive does not play a part in this client's skin condition.
Rationale 4: The fact that the client does not use alcohol or drugs does not play a part in this client's skin condition.
Rationale 5: Data that support this problem are clustered around the condition of the client's clothes.
Rationale 6: Data that support this problem are clustered around the condition of the client's general appearance.

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Thank you!

[skipfourms123]

Always glad to help...