The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale of 10. Which expected outcome is correctly stated for this problem?

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Question 1 of 5

The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale of 10. Which expected outcome is correctly stated for this problem?

Correct Answer: D

Rationale: The correct answer is D because it reflects a specific, measurable, and realistic expected outcome for the nursing diagnosis of acute pain. It includes the patient's subjective pain rating (2 on a scale of 10) and a time frame (1 hour after administration of medication). This outcome is achievable and provides a clear target for evaluating the effectiveness of pain management. Option A is incorrect as it does not specify a time frame or intervention. Option B is vague and lacks a measurable outcome. Option C is also vague and lacks a clear time frame for evaluation. Overall, option D is the best choice as it aligns with the SMART criteria for expected outcomes in nursing care planning.

Question 2 of 5

The nurse states to the newly pregnant patient, “Tell me how you feel about being pregnant.” Which communication technique is the nurse using with this patient?

Correct Answer: C

Rationale: The correct answer is C: Reflection. The nurse is using a reflection communication technique by restating the patient's feelings to show understanding and empathy. This helps the patient feel heard and validated. Clarifying (A) involves seeking more information, paraphrasing (B) involves restating the patient's words, and structuring (D) involves providing organization or direction. In this scenario, the nurse is not seeking more details (Clarifying), restating the patient's words exactly (Paraphrasing), or providing organization/direction (Structuring), but rather reflecting the patient's emotions back to them.

Question 3 of 5

The nurse is assessing a patient’s use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A because practicing yoga daily is a recognized complementary therapy that promotes physical and mental well-being. Yoga has been shown to reduce stress, improve flexibility, and enhance overall health. B is incorrect as drinking green tea is considered a dietary choice rather than a specific alternative therapy practice. C is incorrect as taking omeprazole is a conventional medication for acid reflux, not a complementary therapy. D is incorrect as aromatherapy is a complementary therapy, but using it during a relaxing bath is not a specific practice related to alternative therapies.

Question 4 of 5

The nurse is providing education for disease prevention to the adult female patient. Which factor puts the patient at a higher risk for multisystem disease processes such as cardiac issues, gynecological issues, and cancers?

Correct Answer: B

Rationale: Step 1: Smoking two packs of cigarettes a day is a significant risk factor for multisystem disease processes due to the harmful chemicals in cigarette smoke, which can lead to cardiovascular diseases, gynecological issues, and various cancers. Step 2: The nicotine and other toxins in cigarettes can damage the heart, blood vessels, reproductive organs, and increase the risk of developing different types of cancers. Step 3: Choices A, C, and D are not as directly linked to multisystem disease processes as smoking. Consuming two glasses of wine a week may have some health benefits, a BMI over 32 is a risk factor but not as directly related to the mentioned diseases, and poor intake of calcium and vegetables may lead to deficiencies but not as significantly connected to the mentioned diseases.

Question 5 of 5

The nurse is providing care to a 75-year-old female patient diagnosed with osteoporosis. Which of the following would be the priority nursing diagnosis?

Correct Answer: A

Rationale: The correct answer is A: At risk for falls related to impaired balance. This is the priority nursing diagnosis because falls in elderly patients with osteoporosis can lead to serious consequences such as fractures. Assessing and addressing impaired balance can help prevent falls. Choice B is incorrect as addressing the risk of falls is more urgent than educating the patient on a new medication regimen. Choice C is also incorrect as addressing mobility issues can come after addressing the risk of falls. Choice D is incorrect as it focuses on health maintenance rather than immediate safety concerns like the risk of falls.

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