Author Question: The nurse has received advanced orders for a patient that she is expecting to be admitted from the ... (Read 27 times)

@Brianna17 · **on:** Jul 23, 2018

The nurse has received advanced orders for a patient that she is expecting to be admitted from the emergency room (ER). The patient's name is Mr. Herman Goldstein. Trying to get ahead on her task, the nurse changes the patient's diet

from Regular to Kosher. When the patient reaches the unit, the nurse discovers that the patient is Catholic even though his father is Jewish. The nurse is guilty of giving in to:a.
illogical thinking.
b.
a bias.
c.
closed-mindedness.
d.
an erroneous assumption.

Question 2

The nurse develops a list of nursing diagnoses for a patient receiving intravenous chemotherapy for breast cancer. The patient tells the nurse, I understand that I will lose most of my hair. Will it grow back?

Which of the following diagnoses will have the highest priority?
a.
Disturbed body image
b.
Nausea
c.
Risk for bleeding
d.
Imbalanced nutrition: less than body requirements

sarah_brady415 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Assumptions are beliefs that are taken for granted and assumed to be true. Assumptions can be unjustified or justified, depending on whether there are good reasons for them. Erroneous assumptions can lead to safety issues in the clinical setting. Illogical thinking is characterized by a failure to follow rational, systematic processes when approaching an issue or problem. Often making hasty generalizations and assumptions that do not consider the evidence, the illogical thinker may jump to conclusions. Decisions may be unduly influenced by bias, which is an inclination or tendency to favoritism or partiality. Bias may be related to a preconceived notion or prejudice such as believing that these people seek their medication. It is important for nurses to examine personal biases because they can negatively impact care. Errors in thinking and decision making can result from intentionally overlooking alternatives suggested by others. When relevant information from patients or experts is ignored due to closed-mindedness, nursing care can be compromised. Closed-minded individuals often believe that their way is the best and preferred way.

Answer to Question 2

ANS: A
Priority of nursing diagnoses is determined by the patient's preference as well as the severity of the symptoms. The patient is concerned about the loss of hair because this will affect body image. For her, this is a prime focus. The patient may experience nausea as a result of the chemotherapy drugs. The patient will not be able to eat properly if the nausea is not controlled thus decreasing nutritional intake. There is a potential for bleeding as a result of the low platelet count created by the drugs. All of these must be addressed, but the primary diagnosis, in this case, would be body image.