Nokea
In the nursing diagnosis Disturbed Self-Esteem related to presence of large scar over left side of face, what part of the nursing diagnosis is presence of large scar over left side of face?
- A. etiology
- B. problem
- C. defining characteristics
- D. patient need
Correct Answer: A
Rationale: The 'presence of large scar' is the etiology, as it describes the cause of the disturbed self-esteem.
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A nurse caring for an elderly patient in a long-term care facility notices that the bedding is wet when the patient gets up in the morning. The nurse collects more data to form a conclusion. What type of problem is involved in this scenario?
- A. no problem
- B. possible problem
- C. actual problem
- D. clinical problem
Correct Answer: B
Rationale: Wet bedding suggests a possible problem, such as incontinence, but further data collection is needed to confirm.
A student is reviewing a patients chart before giving care. She notes the following diagnoses in the contents of the chart: appendicitis and acute pain. Which of the diagnoses is a medical diagnosis?
- A. neither appendicitis nor acute pain
- B. both appendicitis and acute pain
- C. appendicitis
- D. acute pain
Correct Answer: C
Rationale: Appendicitis is a medical diagnosis made by a physician, while acute pain is a nursing diagnosis based on patient symptoms.
Of all the benefits of using nursing diagnoses, which one is probably the most important to nurses?
- A. defining the domain of nursing practice
- B. informing patients of their care
- C. improving communication among nurses
- D. structuring curricular content
Correct Answer: C
Rationale: Improved communication among nurses is a key benefit, as nursing diagnoses provide a standardized language for care.
A nurse writes the following nursing diagnosis for a patient with Alzheimers: Disturbed Thought Processes related to Alzheimers disease as evidenced by incoherent language. Which part of this diagnosis is considered the problem statement?
- A. disturbed thought processes
- B. related to
- C. Alzheimers disease
- D. incoherent language
Correct Answer: A
Rationale: The problem statement in a nursing diagnosis is the identified health issue, which is 'disturbed thought processes' in this case.
A nursing diagnosis is written as Disturbed Self-Esteem related to presence of large scar over left side of face. What does the phrase Disturbed Self-Esteem identify?
- A. the expected outcome of the plan of care
- B. a cue to determining a health problem
- C. the major defining characteristic of a health problem
- D. the health state or problem of the patient
Correct Answer: D
Rationale: Disturbed Self-Esteem' identifies the patient's health state or problem in the nursing diagnosis.