Exam 7: Nursing Diagnosis

The nursing student is reviewing the components of a Nursing diagnosis. Which statement made by the student indicates correct understanding of a health-promotion diagnostic statement?

The nurse has identified several problems for a patient scheduled for a bone marrow transplant. When formulating the Nursing diagnosis, the nurse includes which key concept?

The nurse is admitting a patient with severe dehydration. Assessment data reveal a decreased blood pressure, an increased pulse rate, and a low circulating blood volume. The student observes that the patient is confused and restless. Which patient information would the nurse consider as a contributing factor when choosing the Nursing diagnostic label?

The nurse is caring for a patient admitted to the intensive care unit with malnutrition. The patient is unable to walk and has developed a pressure ulcer from lying in bed constantly without changing positions. The family believes that the patient is depressed and that is why getting out of bed has stopped. When planning this patient's care, the nurse will include which key concept?

The nurse is writing the care plan for a patient admitted to the hospital for complications associated with muscular dystrophy. Which Nursing diagnoses written on the care plan indicate a need for further instruction in constructing the diagnostic statement?

A group of nursing students is discussing the importance of accurately selecting Nursing diagnoses. Which ideas offered in the students' discussion are reasons for choosing the diagnoses carefully?

When creating a Nursing diagnosis, the nurse knows the related factor is based on what premise?

A patient is admitted to the Emergency Department after experiencing severe chest pain and difficulty in taking deep breaths. The patient anxiously tells the nurse, "My father died suddenly of a heart attack at the age of 52. I'm so scared." Which Nursing diagnoses are appropriate for this situation?

The nurse is creating a care plan for a patient admitted with severe bone pain related to an infected leg wound. Which diagnosis written on the plan indicates an understanding of the components of a Nursing diagnosis?

The nursing student submits a care plan to the nursing instructor for a review prior to implementing the nursing interventions. The instructor identifies which Nursing diagnostic statement that is written incorrectly?

The nurse is reviewing assessment findings on a patient admitted with an extremely slow heart rate in preparation to write a care plan. The patient complains of dizziness, shortness of breath, chest pain, and fainting spells. Vital signs are blood pressure of 98/60 mm Hg and pulse of 52 beats/min. Oxygen saturation is 88%. Which action does the nurse perform next?

The nurse completes a health and physical assessment on a patient admitted with a fractured pelvis. Which task would the nurse do next?

The nurse has requested an order to place a patient on suicide watch. Which data noted in the health assessment led the nurse to this conclusion?

The nurse is caring for a complex patient needing physical and emotional support. As the primary caregiver, the nurse has which responsibility?

A patient is receiving an experimental drug for leukemia. The nurse is worried that the drug may cause a reduction in platelets leading to intestinal tract bleeding. Which type of nursing diagnosis does the nurse use to address this concern?

The nurse is developing a plan of care for a patient with gastritis and an inflammation of the intestines. The patient is complaining of severe abdominal discomfort and nausea. The patient also reports having restless leg syndrome and an inability to urinate. What should the nurse write as a problem statement for the Nursing diagnosis?

A group of patients in a community center attend a nursing-led information session on the risks of contracting tuberculosis. After the presentation, several patients ask the nurse for additional web-based resources regarding the lung disease. Which type of nursing diagnosis would the nurse choose for the community care plan?

The nurse is reviewing data obtained through the health history interview and physical assessment of an assigned patient. Data collected include dry skin, brittle nails, weight gain, thinning hair, constipation, prolonged menstruation, and the patient's complaints of feeling tired and cold. The nurse recognizes which statement represents an appropriate data cluster?

The nurse is caring for a patient admitted to the psychiatric unit as a result of an overdose of cocaine. Which Nursing diagnosis indicates an understanding of a Nursing diagnostic statement?

Nursing students are analyzing the following Nursing diagnostic statement during a study group session. Acute pain related to pressure on lumbar spinal nerves as evidenced by a pain level of 9, patient verbalizations of pain, and grimacing when walking. The students would be correct if they stated which response to be the etiology of the patient's problem?