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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. The definition of spirituality does not typically include concepts of fire or giving life; this option does not accurately capture the essence of spirituality.
B. Awareness of one's inner self encompasses the essence of spirituality, focusing on personal beliefs, values, and the search for meaning, which is widely recognized in health care.
C. Spirituality is often considered equally essential to physical needs, especially in holistic approaches to health and well-being, making this statement misleading.
D. Spirituality can have a significant impact on health, influencing coping mechanisms and overall well-being; therefore, labeling it as having a minor effect is not accurate.

A. Multipersonal B. Transpersonal C. Interpersonal D. Intrapersonal

Correct Answer is B

Explanation

A. Multipersonal connectedness involves relationships with multiple people, which is not the focus of the nurse-patient connection in spiritual care.
B. Transpersonal connectedness refers to a connection that goes beyond the physical and mental levels, fostering a deeper spiritual relationship between the nurse and the patient, often characterized by empathy and understanding.
C. Interpersonal connectedness describes the relationship between individuals, focusing on social and emotional interactions, but does not encompass the spiritual dimension.
D. Intrapersonal connectedness relates to an individual's self-awareness and inner thoughts, not the connection with another person in a spiritual context.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A co-worker asks the nurse to explain spirituality. What is the nurse's best response?

Correct Answer is B

Explanation

A nurse makes a connection with the patient when providing spiritual care. Which type of connectedness did the nurse experience?

Correct Answer is B

Explanation

In caring for the patient's spiritual needs, the nurse asks 20 questions to assess the patient's relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?

A nurse identifies gaps between local and best practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating?

While the nurse is taking a patient history, the nurse discovers the patient has a type of diabetes that results from a head injury and does not require insulin. Which dietary change should the nurse share with the patient?

The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)

A nurse caring for a patient prescribed warfarin discovers that the patient is taking garlic to help with hypertension. Which condition will the nurse assess for in this patient?

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

A terminally ill patient is experiencing constipation secondary to pain medication. Which is the best method for the nurse to improve the patient's constipation problem?