The registered nurse has just admitted a client with severe depression. What domain should be the priority focus as the nurse identifies the nursing diagnoses?

Correct Answer: D

Rationale: Safety is paramount in severe depression due to suicide risk.

Correct Answer: D

Rationale: Providing privacy and explaining the procedure when using a bedpan upholds the patient's dignity by respecting their autonomy and reducing embarrassment. This involves using curtains, closing doors, and communicating clearly to ensure comfort and consent. Leaving the patient alone risks safety and neglects emotional support, undermining dignity. Using the bedpan without consent violates patient rights and trust. Rushing prioritizes efficiency over sensitivity, potentially causing discomfort or shame. Dignity is a core nursing value explaining the process empowers the patient, while privacy shields them from exposure, aligning with ethical care standards and fostering a respectful environment.

Correct Answer: C

Rationale: Using the legs to lift while keeping the back straight promotes proper body mechanics by distributing weight to the stronger leg muscles, minimizing spinal strain and injury risk. Bending from the waist overloads the back, inviting disc damage. Twisting while lifting compounds this risk, destabilizing the spine. Fully extended arms reduce control and leverage, straining shoulders and back. Nurses apply this technique to protect themselves and patients during transfers, ensuring safety and longevity in physically demanding roles leg power, not back bending, is the key to sustainable lifting.

Correct Answer: C

Rationale: Positioning an unconscious patient upright and elevated during feeding prevents aspiration by aligning the esophagus for gravity-assisted swallowing, reducing the chance of food entering the airway. Large amounts at once overwhelm reflexes, heightening risk. Feeding while flat allows reflux into the lungs, a common aspiration cause. Rushing increases errors and choking hazards. Nurses use this position often 30-45 degrees to mimic natural eating posture, safeguarding respiratory health in patients lacking protective cough reflexes, a critical care priority.

Correct Answer: C

Rationale: A nasogastric (NG) tube delivers nutrients and medication directly to the stomach, bypassing the mouth for patients unable to eat or swallow, like those post-surgery or unconscious. Oxygen delivery uses nasal cannulas or masks, not NG tubes. Blood pressure measurement involves cuffs, not gastric access. Heart rate monitoring uses ECGs or pulse checks unrelated to NG function. Nurses insert and manage NG tubes to ensure nutritional support and drug administration, verifying placement to avoid complications, a vital tool in acute care settings.