Author Question: After an assessment, the nurse reviews the list of client problems. For which problems should the ... (Read 74 times)

abern · **on:** Jul 23, 2018

After an assessment, the nurse reviews the list of client problems. For which problems should the nurse create nursing diagnoses?

1. The ones that the nurse is licensed to treat
2. The ones that address other health professionals' interventions
3. The ones that focus on the client's primary illness
4. The ones that have standardized care available

Question 2

The nurse is completing a health history with a newly admitted client. What information should the nurse include when asking about the history of the client's present illness?

1. Allergies
2. Immunization record
3. When the symptoms started
4. Exact location of the problem
5. Things that aggravate the problem

aadams68 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: The domain of nursing diagnoses includes only those health states that nurses are educated on and licensed to treat. A nursing diagnosis is a judgment made only after data collection. Nursing diagnoses describe a continuum of health states: deviations from health, presence of risk factors, and areas of enhanced personal growth.
Rationale 2: A nursing diagnosis, although familiar to other health care professionals, is nursing focused.
Rationale 3: The nursing diagnosis statement is specific to nursing and nurses and does not include the medical diagnosis.
Rationale 4: The nursing diagnosis, like the plan of care, is specific to each individual client and the client's situation.

Answer to Question 2

Correct Answer: 3, 4, 5

Rationale 1: Allergies is a part of the past history.

Rationale 2: Immunization record is a part of the past history.

Rationale 3: When the symptoms started is a part of the history of present illness.

Rationale 4: The location of the problem is a part of the history of present illness.

Rationale 5: Things that aggravate the problem is a part of the history of present illness.