Which diagnosis will the nurse document in a patient's care plan that is NANDA-I approved?

Acute pain

Sore throat

Sleep apnea

Heart failure

Answer and Explanation

The Correct Answer is A

A. "Acute pain" is a NANDA-I approved nursing diagnosis that identifies a specific condition that nursing interventions can address.
B. "Sore throat" is a symptom rather than a nursing diagnosis and does not appear in NANDA-I.
C. "Sleep apnea" is classified as a medical diagnosis and not as a nursing diagnosis within NANDA-I.
D. "Heart failure" is also a medical diagnosis and not an approved nursing diagnosis, as it describes a condition rather than the patient's response or nursing concerns.

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Correct Answer is A

Explanation

A. Regular engagement in meditation for 10 minutes daily indicates effective learning and practice of meditation techniques, as consistency is key to developing this skill.
B. Breathing quickly is not indicative of effective meditation, as the practice typically involves slow, deep breathing to promote relaxation.
C. While lying on the floor can be a comfortable position for some, it does not specifically indicate effective learning in meditation, as it depends on the individual’s preferences.
D. Focusing on a particular image can be a part of meditation but does not solely demonstrate effective learning without the context of regular practice and the correct breathing techniques.

A. Assessment B. Diagnosis C. Implementation D. Planning

Correct Answer is D

Explanation

A. Assessment has already been completed as the initial step, involving data collection.
B. Diagnosis is also completed, involving analysis and identification of the patient’s health problems.
C. Implementation occurs after planning, when nursing interventions are executed.
D. Planning is the appropriate next step, involving the creation of specific, measurable goals and interventions based on the identified nursing diagnoses.

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Which diagnosis will the nurse document in a patient's care plan that is NANDA-I approved?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a patient how to meditate. Which behavior presented by the patient indicates effective learning?

Correct Answer is A

Explanation

The nurse completes a thorough assessment of a patient and analyzes the data to identify nursing diagnoses. Which step will the nurse take next in the nursing process?

Correct Answer is D

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?

An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to the obstetrical floor?

A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?

The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)

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 is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply.)