The patient expresses a desire to learn methods to be independent ...

[anshika]

The patient expresses a desire to learn methods to be independent regarding self-care. Based on this, the most appropriate nursing diagnosis would be:
 
  a. ineffective health maintenance.
  b. readiness for enhanced self-care.
  c. hygiene self-care deficit.
  d. disturbed body image.

Question 2

Which tool is used to determine risk for impaired skin integrity?
 
  a. Braden scale
  b. Glasgow scale
  c. Vanderbilt scale
  d. MMSE scale

[aadams68]

Answer to Question 1

ANS: B
Readiness for enhanced self-care is evidenced by a patient expressing a desire to be independent in ADLs. Ineffective health maintenance is an inability to maintain health, hygiene self-care deficit indicates they are unable to perform hygiene, and disturbed body image relates to how they view their body.

Answer to Question 2

ANS: A
The Braden scale is used to determine risk for impaired skin integrity: The Glasgow is a coma scale, the Vanderbilt is a behavior scale, and the MMSE is the mini-mental exam to determine cognitive status.

[anshika]

YES! Correct, THANKS for helping me on my review

[cassie_ragen]

Thanks for the timely response, appreciate it