After formulating the nursing diagnoses for a new patient, what is a nurse's next action?

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Question 1 of 5

After formulating the nursing diagnoses for a new patient, what is a nurse's next action?

Correct Answer: B

Rationale: The correct answer is B: Determining the goals and outcome criteria. After formulating nursing diagnoses, the nurse's next action should be to establish clear goals and outcome criteria to guide the plan of care. This step ensures that the interventions are focused on achieving specific outcomes for the patient's health. Designing interventions (choice A) comes after setting goals. Implementing the nursing plan of care (choice C) is done after determining goals and interventions. Completing the spiritual assessment (choice D) is important but typically not the immediate next step after formulating nursing diagnoses.

Question 2 of 5

The nurse is doing an assessment interview of a patient. During the interview, the patient comments, 'Our people are connected with nature. Our world, our seasons, and our weather—they all have many lessons to teach us.' The nurse interprets the patient's statement as an expression of which of the following?

Correct Answer: C

Rationale: The correct answer is C: Spirituality. The patient's statement reflects a deep connection to nature and the belief that nature holds valuable lessons. This aligns with the concept of spirituality, which involves seeking meaning and purpose in life beyond material possessions. The patient's emphasis on nature suggests a spiritual perspective that values interconnectedness and the wisdom of the natural world. Religiousness (A) typically refers to adherence to specific organized beliefs and practices. Tribal law (B) pertains to legal systems within specific cultural groups. Ecological values (D) focus more on environmental conservation and sustainability, rather than the spiritual or philosophical connection to nature expressed by the patient.

Question 3 of 5

A patient is being admitted to the psychiatric unit. While explaining his reason for seeking admission, he describes how his 32-year-old son recently died of a heart attack. Which response by the nurse would enhance the effectiveness of this interview?

Correct Answer: C

Rationale: The correct answer is C: 'This must be a very difficult time for you.' This response shows empathy and acknowledges the patient's emotional state without making assumptions or imposing personal experiences. It validates the patient's feelings and allows them to express themselves further. Incorrect responses: A: Asking about the wife assumes the patient's emotional support solely relies on her, neglecting the patient's own emotions. B: Focusing on other children disregards the patient's grief and may minimize the significance of the loss. D: Sharing personal experiences can shift the focus from the patient to the nurse, potentially invalidating the patient's emotions.

Question 4 of 5

A nurse is preparing to lead an older adult group. Which of the following would the nurse need to keep in mind when leading this group?

Correct Answer: B

Rationale: The correct answer is B: Keeping the pace of the group meetings slow. Older adults may require more time to process information due to cognitive changes. Slower pace allows for better understanding and participation. Choice A is incorrect as older adults may struggle with learning new information quickly. Choice C is incorrect because life review strategies can be beneficial for older adults. Choice D is incorrect as it may be challenging for older adults to learn entirely new coping methods.

Question 5 of 5

A nurse is assessing a patient and the patient's social networks. When evaluating this area, the nurse integrates knowledge that which of the following is an important component?

Correct Answer: C

Rationale: Step 1: Reciprocity refers to mutual exchange and interdependence within social networks. Step 2: It ensures support is given and received, enhancing the patient's well-being. Step 3: Blood relationships (A) may not always guarantee support, and bonding (B) may lack reciprocity. Step 4: Emotional support (D) is crucial but doesn't encompass the full spectrum of social networks. Summary: Reciprocity is key as it ensures a two-way supportive relationship, unlike the other choices which may not guarantee the same level of support.

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