Which of the following is an example of a nursing diagnosis?

Skin breakdown

Elevated blood pressure

Anxiety

Ineffective breathing pattern

Answer and Explanation

The Correct Answer is D

A. Skin breakdown: This is a medical problem or symptom, but it is not a structured nursing diagnosis.

B. Elevated blood pressure: This is a clinical finding rather than a nursing diagnosis.

C. Anxiety: While anxiety is a medical condition, a complete nursing diagnosis should describe the specific effects on the patient, such as "Anxiety related to hospitalization as evidenced by restlessness and increased heart rate."

D. Ineffective breathing pattern: This is a standardized nursing diagnosis as defined by NANDA (North American Nursing Diagnosis Association). It refers to altered respiratory function that nurses can assess and manage.

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Correct Answer is C

Explanation

A. Financial stability: Financial stability is a protective factor against suicide.

B. Engaging in extracurricular activities: Social involvement and participation in activities generally reduce suicide risk.

C. Loss of a job: Job loss is a significant psychosocial stressor that can contribute to feelings of hopelessness, depression, and suicidal ideation.

D. Exercising caution in behavior: Individuals at risk for suicide often engage in impulsive or risky behavior, not cautious behavior.

A. Educating the patient on the surgical process B. Ensuring the patient's preoperative checklist is complete C. Answering all questions for the patient about surgery D. Admitting the patient to the facility

Correct Answer is B

Explanation

A. Educating the patient on the surgical process. Preoperative education is important, but ensuring that all essential preoperative requirements are met takes precedence.

B. Ensuring the patient's preoperative checklist is complete. The preoperative checklist ensures that all necessary steps (e.g., consent, lab results, NPO status) are completed before surgery. Missing an essential step could delay or complicate the procedure.

C. Answering all questions for the patient about surgery. Answering questions is important but is not the priority over ensuring surgical readiness.

D. Admitting the patient to the facility. While admission is necessary, it does not take precedence over ensuring all preoperative preparations are complete.

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Which of the following is an example of a nursing diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is creating a presentation about mood disorders for a local support group. The nurse should include which of the following as a risk factor for suicide?

Correct Answer is C

Explanation

Which action is the priority when providing care to a patient in the preoperative period?

Correct Answer is B

Explanation

Which patient finding indicates the need for further monitoring rather than discharge home after an outpatient surgical procedure?

A nurse is reviewing the medical records of four clients who have an acid-base imbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis?

What is a common side effect of antipsychotics?

A nurse is caring for a client who has sleep dysregulation, poor memory, and poor concentration. Which of the following neurotransmitters should the nurse identify as being responsible for the client's manifestations?

In teaching the patient about postoperative pain management, which statement by the nurse is best?

Which entry made my nurse most accurately documents a client's mood?

The nurse provides care to a patient who is recovering from facial trauma who requires high-flow oxygen therapy. Which method of oxygen delivery does the nurse recognize as best for this patient?

A nurse is caring for a client who has metabolic acidosis. Which of the following could be a cause for the for metabolic acidosis?