N300 Chapter 3 CoursePoint

When prioritizing a client's care plan based on Maslow's hierarchy of needs, the nurse's first priority would be

Administering pain medication Maslow's hierarchy of needs provides one framework for prioritizing problems, with importance being given first to physical needs. Once those basic needs are met, higher-level needs can be addressed.

In determining goals for clients, the expected outcomes need to:

All of the responses are correct. When writing expected outcomes, the nurse should relate them directly to the nursing diagnoses; make them clear, specific, and measurable and include the appropriate timeframe for completion.

Which ethical principle is related to the duty to do good?

Beneficence Beneficence is the duty to do good to benefit others and the active promotion of benevolent acts. Autonomy refers to self-rule. Confidentiality related to the concept of privacy. Nonmalificence is the duty not to inflict harm as well as to prevent and remove harm

A nurse is beginning a health history with a client and states, "Which part of your health history would you like to start with?" This type of communication technique is called

Broad opening Broad opening encourages the client to select topics for discussion, which indicates acceptance by the nurse and the value of the client's initiative. Suggesting involves presentation of alternative ideas for the client's consideration relative to problem solving. Listening is an active process of receiving information and examining one's reactions to the messages received. Silence is described as periods of no verbal communication among participants for therapeutic reasons.

Which element is involved in the planning phase of the nursing process?

Identify measurable outcomes The planning step of the nursing process involves identifying measurable outcomes, selecting nursing interventions, and documenting the planning steps. The implementation step involves carrying out nursing orders. The diagnosis step involves identifying collaborative problems. Completing a health history is done in the assessment step.

Developing a written plan of nursing care takes place during which step of the nursing process?

Planning The nursing process is a problem-solving approach for meeting health care needs. During the planning step, the nurse develops a written plan of care focusing on goal and outcome development.

The physician has ordered cimetidine for a client with gastric ulcers, and the nurse administers the first dose. The nurse's actions are noted in the medical record. This notation is an example of which aspect of implementing the plan of care?

documentation An important element of implementation is documentation. By law, nurses must document all nursing actions, observations, and client responses in a permanent record.

Which type of nursing diagnosis is a clinical judgment of a client's motivation and behavior to increase his or her well-being?

health promotion The health promotion diagnosis is a judgment of a client's motivation and behavior to increase well-being and enhance health-seeking behaviors. The risk diagnosis identifies potential problems for which the client is at risk. The syndrome diagnosis describes specific diagnoses that occur as a group. The actual diagnosis identifies an existing problem such as Urinary Retention or Anxiety.

An elderly client who enjoyed watercolor painting when young has recently indicated a desire to begin painting again. According to Maslow's theories on human needs, the client would express this interest because:

lower level needs are being met, so the client is motivated to creative expression. Maslow proposed that if the first four levels of human needs are being met, one will pursue creative fulfillment (self-actualization) in any number of ways including artistic endeavor. The remaining options are not related to Maslow.

Which type of nursing diagnosis identifies an existing condition that the client is experiencing?

problem-focused The problem-focused diagnosis identifies an existing problem such as Urinary Retention or Anxiety. The health promotion diagnosis is a judgment of a client's motivation and behavior to increase well-being. The risk diagnosis identifies potential problems for which the client is at risk. The syndrome diagnosis describes specific diagnoses that occur as a group.

A longterm care facility's newest client refuses to attend group activities or social events offered by the facility. Which level of Maslow's hierarchy do social events address?

third: love and belonging needs Group activities and social events address love and belonging needs, which is the third level of Maslow's hierarchy.