A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?

Self-care deficit.

Risk for falls.

Impaired socialization.

Impaired physical mobility.

Answer and Explanation

The Correct Answer is C

Choice A reason: Self-care deficit addresses physical inability to perform daily tasks, not psychological issues from sensory impairments. Hearing and visual loss primarily impact communication, leading to socialization issues. Assuming self-care deficit misaligns the diagnosis, risking neglect of psychological needs like social isolation, critical for mental health in sensory-impaired patients.

Choice B reason: Risk for falls is a physical safety concern due to sensory impairments but not psychological. Impaired socialization better addresses the psychological impact of communication barriers. Prioritizing falls risks overlooking social isolation, delaying interventions like communication aids, essential for mental well-being in patients with hearing and visual deficits.

Choice C reason: Impaired socialization, a psychological nursing diagnosis, reflects the communication barriers from hearing and visual impairments, leading to social isolation and emotional distress. This diagnosis guides interventions like assistive devices or support groups, critical for mental health, ensuring patients maintain social connections and emotional resilience despite sensory challenges.

Choice D reason: Impaired physical mobility relates to movement limitations, not psychological effects of sensory impairments. Hearing and visual loss primarily cause socialization issues, not mobility deficits. Assuming mobility misdirects care, neglecting psychological needs like social engagement, critical for preventing isolation and supporting mental health in sensory-impaired patients.

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Correct Answer is A

Explanation

Choice A reason: Holistic care for chronic anxiety involves assessing how worry impacts physical, emotional, and social functioning. This approach considers the patient’s lifestyle, coping mechanisms, and overall well-being, fostering tailored interventions like cognitive-behavioral therapy or relaxation techniques. Understanding functional impairment ensures comprehensive care, addressing root causes and promoting long-term management of anxiety.

Choice B reason: Focusing on quick remedies prioritizes short-term symptom relief over holistic care. Chronic anxiety requires sustained strategies, like therapy or lifestyle changes, rather than temporary fixes like medication alone. This approach neglects emotional and social factors, limiting effectiveness and failing to address the multifaceted nature of the patient’s condition.

Choice C reason: Assuming the patient’s only goal is anxiety relief oversimplifies their needs. Holistic care recognizes diverse goals, such as improving relationships or daily functioning. This narrow focus ignores emotional, spiritual, or social aspects, reducing care quality and failing to align with the comprehensive, patient-centered approach required for chronic anxiety.

Choice D reason: Suggesting little hope for relief is counterproductive and dismissive. Holistic care empowers patients with hope through education, coping strategies, and support. This approach risks worsening anxiety by fostering despair, contradicting the nurse’s role in promoting resilience and well-being, and failing to address the patient’s potential for improvement.

A. During NREM sleep, biological functions increase. B. REM sleep decreases cortical activity. C. Restful sleep preserves cardiac function. D. NREM sleep contributes to body tissue restoration. E. Sleep contributes to cognitive restoration.

Correct Answer is ["C","D","E"]

Explanation

Choice A reason: During NREM sleep, biological functions like heart rate and metabolism decrease, not increase, to promote restoration. Increased functions occur in REM sleep or wakefulness. This statement is incorrect, as it misrepresents NREM sleep’s physiological role, making it an inappropriate teaching point.

Choice B reason: REM sleep increases cortical activity, supporting dreaming and memory processing, not decreasing it. This statement is inaccurate, as REM is characterized by high brain activity similar to wakefulness. It does not align with sleep’s benefits, making it incorrect for the teaching session.

Choice C reason: Restful sleep preserves cardiac function by reducing heart rate, blood pressure, and stress hormones, lowering cardiovascular strain. Adequate sleep prevents arrhythmias and hypertension, making this a correct teaching point to highlight sleep’s protective role in heart health for ICU patients.

Choice D reason: NREM sleep, especially deep stages, promotes body tissue restoration by facilitating protein synthesis and growth hormone release, aiding tissue repair. This is a key benefit, particularly for ICU patients recovering from illness, making it a correct point for the nurse’s teaching session.

Choice E reason: Sleep, particularly REM and deep NREM, supports cognitive restoration by consolidating memories and clearing brain metabolites. This enhances alertness and decision-making, critical for ICU patients’ recovery. This is a correct teaching point, emphasizing sleep’s role in mental clarity and function.

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A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is admitted with a diagnosis of chronic anxiety. Which action is most appropriate for the nurse to take when providing holistic care?

Correct Answer is A

Explanation

The nurse is caring for a patient in the intensive care unit who is having trouble sleeping. The nurse explains the purpose of sleep and its benefits. Which information will the nurse include in the teaching session? (Select all that apply)

Correct Answer is ["C","D","E"]

Explanation

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