What part of the patients record is commonly used to document specific patient variables, such as vital signs?

Correct Answer: D

Rationale: The correct answer is D: graphic record. Graphic records are commonly used to document specific patient variables like vital signs as they provide a visual representation of these data over time. This format allows for easy tracking and comparison of trends. Progress notes (A) typically focus on a patient's overall progress and response to treatment, rather than specific variables like vital signs. Nursing notes (B) may include observations and assessments but are not typically used for detailed recording of vital signs. Critical paths (C) are used to outline a patient's expected course of treatment and milestones, not for recording specific patient variables. Therefore, the graphic record is the most appropriate choice for documenting specific patient variables such as vital signs.

Correct Answer: A

Rationale: The correct answer is A: person. In nursing theories, the person is the central focus as the recipient of care. Nurses provide holistic care tailored to each individual's physical, emotional, and spiritual needs. The person-centered approach emphasizes the importance of understanding the unique characteristics and experiences of each patient. The other choices are incorrect because: B: environment focuses on the external factors impacting health but is not the primary focus of nursing. C: health is an outcome of nursing care and not the main focus. D: nursing is the profession itself and the practice of providing care, but it is not the main focus of nursing theories, which center around the individual receiving care.

Correct Answer: A

Rationale: The correct answer is A: Physical. Down syndrome is a genetic condition that affects physical development and health. Physical dimension refers to the body's physiological aspects, including genetics, anatomy, and functioning. This directly impacts the baby's health-illness status. Summary: B: Emotional - Down syndrome may lead to emotional challenges, but the primary impact is on physical health. C: Environmental - Environmental factors can influence health, but Down syndrome is primarily a genetic condition. D: Sociocultural - Sociocultural factors can affect health, but Down syndrome is mainly a physical condition.

Correct Answer: C

Rationale: The correct answer is C: protection from potential harm. Following a fractured pelvis from a fall, the priority need is ensuring the patient's safety at home to prevent further harm. The home assessment will focus on identifying and addressing potential hazards that could lead to additional falls or injuries. This includes assessing the home environment for safety modifications, such as installing grab bars in the bathroom or removing tripping hazards. Ensuring protection from potential harm is essential for the patient's recovery and overall well-being. Choices A, B, and D are incorrect because they do not address the immediate safety concerns associated with the patient's fractured pelvis. While sleep and rest, support from family members, and feeling a sense of accomplishment are important aspects of care, they are not the priority in this scenario where the main focus should be on preventing further injury and ensuring the patient's safety at home.

Correct Answer: C

Rationale: The correct answer is C because it highlights the ethical dilemma that arises from conflicting principles of patient autonomy and beneficence. By respecting the patient's wish to refuse food and fluids, the nurse would be supporting autonomy, but by following the physician's order to insert a feeding tube, the nurse would be prioritizing beneficence. This creates a moral distress for the nurse, as they are torn between two valid but conflicting courses of action. A: Following physician's orders is important, but in this case, it conflicts with the patient's autonomy. B: This choice is too extreme and does not address the ethical dilemma at hand. D: While inserting a feeding tube may affect the nurse-patient relationship, the primary issue is the ethical conflict between respecting the patient's wishes and following medical orders.