The nurse is caring for a patient with sepsis. The nurse includes potential complication: septic shock in the plan of care. Why is this nursing diagnosis considered to be a collaborative problem?
The patient has a history of noncompliance with prescribed therapeutic regimens.
The patient must be closely monitored in an intensive care unit.
Prevention of septic shock is not a measurable patient outcome.
Both nursing and physician-prescribed interventions are required.
The Correct Answer is D
Choice A reason: This is an incorrect choice because the patient has a history of noncompliance with prescribed therapeutic regimens is not a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The patient's history of noncompliance is not related to the nature of the problem or the type of intervention required.
Choice B reason: This is an incorrect choice because the patient must be closely monitored in an intensive care unit is not a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The patient's need for close monitoring is not related to the nature of the problem or the type of intervention required.
Choice C reason: This is an incorrect choice because prevention of septic shock is not a measurable patient outcome is not a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The measurability of the patient outcome is not related to the nature of the problem or the type of intervention required.
Choice D reason: This is the correct choice because both nursing and physician-prescribed interventions are required is a reason why this nursing diagnosis is considered to be a collaborative problem. A collaborative problem is a potential or actual health problem that requires the intervention of multiple health care professionals from different disciplines to achieve optimal patient outcomes. The problem of septic shock is a complex and life-threatening condition that involves multiple organ systems and requires both medical and nursing interventions to prevent, treat, and monitor the patient's status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A reason: This is a correct choice because careful delegation is a leadership skill that involves assigning tasks to the appropriate staff members based on their scope of practice, competence, and availability. Careful delegation ensures that the nursing student can focus on the most important aspects of patient care while supervising and supporting the delegated staff¹.
Choice B reason: This is a correct choice because team communication is a leadership skill that involves exchanging information, ideas, and feedback with other members of the health care team in a clear, respectful, and timely manner. Team communication facilitates collaboration, coordination, and continuity of care for the patients².
Choice C reason: This is a correct choice because case management is a leadership skill that involves planning, organizing, and evaluating the care of a specific group of patients across the continuum of care. Case management ensures that the patients receive the best quality of care while optimizing the use of resources and reducing costs³.
Choice D reason: This is a correct choice because time management is a leadership skill that involves prioritizing, scheduling, and completing tasks within the available time. Time management helps the nursing student to balance the demands of patient care, education, and personal life while avoiding stress and burnout.
Choice E reason: This is a correct choice because priority setting is a leadership skill that involves identifying the most urgent and important tasks and goals and allocating the appropriate time and resources to them. Priority setting helps the nursing student to provide safe and effective care for the patients while meeting their needs and expectations.
Correct Answer is B
Explanation
Choice A reason: This is an incorrect choice because "Are you having any difficulty breathing right now?" is not an open-ended question. An open-ended question is a question that requires more than a yes or no answer and elicits more information from the speaker. This question can be answered with a yes or no, and does not encourage the patient to describe their condition in detail.
Choice B reason: This is the correct choice because "What does your chest pain feel like?" is an open-ended question. An open-ended question is a question that requires more than a yes or no answer and elicits more information from the speaker. This question invites the patient to describe the quality, intensity, location, and duration of their chest pain, which can help the nurse to assess the possible cause and severity of the problem.
Choice C reason: This is an incorrect choice because "Do you have a family history of heart disease?" is not an open-ended question. An open-ended question is a question that requires more than a yes or no answer and elicits more information from the speaker. This question can be answered with a yes or no, and does not encourage the patient to provide more details about their health history or risk factors.
Choice D reason: This is an incorrect choice because "How long have you been experiencing chest pain?" is not an open-ended question. An open-ended question is a question that requires more than a yes or no answer and elicits more information from the speaker. This question can be answered with a specific time, and does not encourage the patient to provide more information about their symptoms or situation.
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