A patient with a spinal cord injury is seeking to enhance urinary elimination abilities by learning self-catheterization versus assisted catheterization by home health nurses and family members. The nurse adds Readiness for enhanced urinary elimination in the care plan. Which type of diagnosis did the nurse write?
Health promotion
Risk
Problem focused
Collaborative problem
The Correct Answer is A
A. "Readiness for enhanced urinary elimination" is classified as a health promotion diagnosis, indicating the patient’s desire to improve their health condition and adopt new health behaviors.
B. A risk diagnosis is used when there is a potential for problems to occur, not applicable in this scenario as the patient is actively seeking improvement.
C. A problem-focused diagnosis describes an existing problem that requires intervention; this situation reflects readiness for improvement, not an existing issue.
D. A collaborative problem involves potential complications that require both nursing and medical management; this case focuses on the patient's willingness to learn a self-management skill rather than managing a specific medical problem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Blood flow starts from the right atrium, moves into the right ventricle, then to the lungs, where it is oxygenated and returns to the left atrium, and then flows into the left ventricle before being pumped into the aorta.
B. This sequence incorrectly places the left atrium before the right ventricle, which is not the correct flow of blood.
C. This sequence starts incorrectly with the right ventricle, skipping the left atrium entirely after blood is oxygenated.
D. This option also incorrectly starts with the right ventricle and does not include the proper sequence of blood flow.
Correct Answer is B
Explanation
A. The pharmacist is responsible for filling prescriptions accurately but does not have control over how the nurse interprets the prescription once received.
B. The nurse has the ultimate responsibility for verifying and administering medications safely, including clarifying unclear prescriptions before administration.
C. The hospital has policies and systems in place to reduce errors, but accountability for individual actions lies with the nurse administering the medication.
D. The health care provider is responsible for prescribing medications accurately; however, the nurse must confirm and clarify any unclear prescriptions before administration.
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