Nurse Angela is about to make a diagnosis but very unsure because the S/S the client is experiencing is not specific with her diagnosis of POWERLESSNESS R/T DIFFICULTY ACCEPTING LOSS OF LOVED ONE. She then focus on gathering data to refute or prove her diagnosis but her plans and interventions are already ongoing for the diagnosis. Which type of Diagnosis is this?

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Question 1 of 5

Nurse Angela is about to make a diagnosis but very unsure because the S/S the client is experiencing is not specific with her diagnosis of POWERLESSNESS R/T DIFFICULTY ACCEPTING LOSS OF LOVED ONE. She then focus on gathering data to refute or prove her diagnosis but her plans and interventions are already ongoing for the diagnosis. Which type of Diagnosis is this?

Correct Answer: C

Rationale: Powerlessness R/T loss' with nonspecific signs and ongoing plans is possible (C); Angela's uncertainty prompts data collection, per NANDA. Actual (A) needs clear evidence, probable (B) isn't standard, risk (D) predicts. C fits tentative status, making it correct.

Question 2 of 5

Which of the following is NOT an eminent sign of death?

Correct Answer: C

Rationale: Eminent signs of death include death rattle (A), apnea (B), and swallowing loss (D), per dying process body fails. Increased muscle tone (C) is untrue tone decreases as muscles relax terminally. C contradicts flaccidity, making it the correct non-sign.

Question 3 of 5

Which of the following statement is NOT true about rigor mortis?

Correct Answer: D

Rationale: Rigor mortis begins 2-6 hours (A), from ATP loss (B), lasts ~24-72 hours (C), per forensic science not trunk-first (D), starts in face/jaw. D's location is untrue, making it the correct false statement.

Question 4 of 5

The nurse did not discuss Mr. Gary's condition to another client asking about it. This is an example of?

Correct Answer: D

Rationale: Not discussing Mr. Gary's condition with another client is confidentiality (D) protecting privacy, per ethics. Autonomy (A) respects choice, fidelity (B) promises, veracity (C) truth not privacy-based. D upholds HIPAA-like standards, making it correct.

Question 5 of 5

Which of the following statement best describe accountability?

Correct Answer: B

Rationale: Accountability is being answerable for actions (B), per nursing ethics owning decisions. Blaming (A), blind following (C), avoiding (D) oppose it. B best defines accountability's responsibility, making it correct.

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