The client states, "I hate this place. I want to go home. No one listens to me, and my doctor has not been in to see me today." The client's arms are folded across his chest. His brow is furrowed, and he will not allow morning vital sign measurements. Which entry should be included in the nurse's charting?

based on the conversation with the patient, the patient is unhappy with care

upon interaction with the patient, the patient seems angry today

the patient is angry, unsatisfied with care, and wants to go home

patient states. “I hate this place want to go home. No one listens to me and my doctor has not been in to see me today"

Answer and Explanation

The Correct Answer is D

A. based on the conversation with the patient, the patient is unhappy with care: This statement includes the nurse’s interpretation rather than the patient’s exact words and feelings, which is less objective for documentation.

B. upon interaction with the patient, the patient seems angry today: This phrase is subjective and vague, lacking specific patient statements or observable behaviors, making it less precise for clinical records.

C. the patient is angry, unsatisfied with care, and wants to go home: This summarizes the nurse’s opinion rather than providing direct quotes or factual observations, which is not ideal for accurate documentation.

D. patient states, “I hate this place. I want to go home. No one listens to me, and my doctor has not been in to see me today.”: This is a direct quote from the patient, providing clear, objective documentation of the patient’s feelings and statements.

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Correct Answer is D

Explanation

A. Dysfunctional Grieving related to the loss of family member, as manifested by behaviors indicating anxiety: This diagnosis implies abnormal or unhealthy grieving, but the family is still in the process of preparing for loss. Anxiety may be present, but it is not yet dysfunctional grieving.

B. Potential for Grieving related to loss of family member and sorrow: This diagnosis focuses on a "potential" rather than an actual process. The family is already experiencing emotions related to the upcoming loss, making this diagnosis less appropriate.

C. Dysfunctional Grieving related to future loss of family member, manifested by family's developmental regression: The family is anticipating the loss, but developmental regression typically refers to a reversal in behavior or abilities, which is not the case here.

D. Anticipatory Grieving related to loss of family member, as evidenced by sorrow: Anticipatory grieving is the appropriate diagnosis in this situation. The family is grieving in advance of the loss, and their sorrow is a natural emotional response. This diagnosis reflects the grieving process prior to the actual death, which is a normal and expected stage of loss.

A. Human dignity B. Social justice C. Integrity D. Altruism

Correct Answer is C

Explanation

A. Human dignity: This refers to respecting the inherent worth of all individuals, including honoring patient preferences and privacy, rather than admitting one's own mistakes.

B. Social justice: Social justice involves promoting fairness and equity in health care delivery and access. While important, it doesn't capture the personal ethical responsibility demonstrated here.

C. Integrity: Integrity is demonstrated by being honest and accountable for one’s actions, including admitting errors, upholding professional standards, and taking responsibility to ensure safe and ethical care.

D. Altruism: Altruism is the concern for the well-being of others, often seen in selfless acts to help patients or colleagues, but it does not specifically reflect the act of reporting one’s own error.

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Naxlex Comprehensive Predictor Exams

An appropriate nursing diagnosis for the family of a client dying of cancer, whose members have expressed sorrow over the forthcoming loss, would be:

Correct Answer is D

Explanation

In the delivery of care the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that the nurse has made. The nurse is most clearly demonstrating which professional value?

Correct Answer is C

Explanation

During rounds a client is having difficulty telling the nurse what they need. The nurse asks her to show her what she needs. The patient points to the bathroom door, signifying she needs to use the restroom. What type of language difficulty is this patient experiencing?

The nurse is performing an assessment on an older adult client and notices that the blood pressure has increased from 140/82 to 198/120 mm Hg. This is a significant difference in the client's baseline. Who is ultimately responsible for reporting this significant change to the health care provider?

A nurse is caring for a patient that has limited mobility and spends majority of their day in bed or a chair. The nurse recognizes that the patient would be at risk for which of the following? (Select all that apply)

Which practice by the nurse indicates that the nurse is a professional?

A client weighs 165 lb. She has a medication prescribed with a maximum daily dosage of 60 mg/kg/day. What is the maximum number of milligrams this this client can receive/day? (TYPE NUMBERS ONLY: Round to nearest whole number, Use commas as appropriate.)

The nurse is educating a client with hypokalemia on why it is important to maintain potassium balance. Which does the nurse include in the teaching?

A nurse is preparing to administer ceftriaxone 300 mg IM into the right vastus lateralis. Which of the following actions should the nurse take to locate the site of injection?

A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Using a prioritization framework, identify the sequence of actions the nurse should take. (Arrange the boxes by dragging them in the selected order of performance.)