Which of the following principles does the nurse use in selecting interventions for the care plan?

There is one best intervention for each goal/outcome.

Actions should address the etiology of the nursing diagnosis.

Interventions should be "doing" not just monitoring.

Always select independent interventions when possible.

Answer and Explanation

The Correct Answer is B

When selecting interventions for a care plan, the nurse should consider several principles. One important principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. By addressing the root cause of the problem, interventions can be more eﬀective in achieving the desired outcomes. There is not necessarily one "best" intervention for each goal or outcome, as diﬀerent clients may have diﬀerent needs and respond diﬀerently to interventions. Interventions can include both "doing" actions and monitoring, and both independent and collaborative interventions may be appropriate depending on the situation.

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Correct Answer is C

Explanation

Values clarification is the process of assisting another to clarify their own values in order to facilitate decision-making ¹. In this case, the client who has been blinded as a result of an injury has informed the nurse of her plans to return to her counseling practice and work full-time. This demonstrates that the client has prioritized her values and made a decision based on them.

A. Ineﬀective Breathing Pattern as evidenced by cyanotic lips. B. Risk for infection related to recent surgery. C. Nutrition less than adequate related to anxiety as evidenced by weight loss of ten pounds. D. Ineﬀective coping related to depression as evidenced by a suicide attempt. E. Noncompliance (DASH diet) related to denial of having the disease.

Correct Answer is ["A","C","D"]

Explanation

The PED model is a framework for writing nursing diagnoses that stands for Problem, Etiology, and Defining Characteristics. A nursing diagnosis written using the PED model includes a statement of the client's problem (P), the cause or contributing factors of the problem (E), and the observable signs and symptoms that indicate the presence of the problem (D). In this case, options a), c), and d) are examples of nursing diagnoses that demonstrate appropriate use of the PED model. Each of these diagnoses includes a statement of the client's problem, the cause or contributing factors, and the defining characteristics that indicate the presence of the problem.

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Which of the following principles does the nurse use in selecting interventions for the care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has been blinded as a result of an injury has informed the nurse of her plans to return to her counselling practice and work full-time. The nurse should realize that this client is demonstrating which aspect of values clarification?

Correct Answer is C

Explanation

The nurse is using the PED model to write a nursing diagnosis. Which nursing diagnoses demonstrate that the nurse used this model appropriately? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

A discharge goal for a client is to have improved mobility. Which outcome statement did the nurse write appropriately?

Which of the following is marked rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnoea?

A nurse is taking care of an adult client who throws a temper tantrum because he does not get his own way. Which defense mechanism is the adult client displaying?

A nurse is providing care for a client who has recently been diagnosed with type 1 diabetes mellitus. To focus on aﬀective learning with this client, the nurse should use which of the following interventions?

The attributes of a professional nurse are:

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