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Informing the family to bid farewell assumes the client’s imminent death, potentially causing distress and undermining hope, which is inappropriate without client or family readiness cues. Requesting no death talk respects the client’s emotional state. This risks premature closure, critical to avoid in supporting family dynamics during end-of-life care.

Stating the client may be out of danger is dishonest, as renal failure in an actively dying client indicates terminal status, risking false hope. Requesting no death talk is more appropriate. This could erode trust, critical to avoid in ensuring honest, compassionate communication with families in end-of-life situations.

Encouraging the family to leave may isolate the client, who likely needs emotional support, contrary to pediatric end-of-life care principles. Requesting no death talk supports presence without distress. This risks emotional abandonment, critical to avoid in ensuring family involvement and client comfort during the dying process.

Encouraging food choices supports autonomy, not directly integrity, unlike accurate assessment recording, which reflects honesty. Assuming food encouragement shows integrity risks misidentifying the value, potentially undervaluing truthfulness, critical to avoid in upholding professional nursing standards in clinical practice settings.

Cultural care reflects respect, not primarily integrity, unlike accurate assessment recording, which ensures honesty. Assuming cultural concern is integrity risks mislabeling the value, potentially overlooking truthful documentation, critical to prevent in maintaining professional nursing integrity in patient care delivery.

Even time division reflects fairness, not integrity, unlike accurate assessment recording, which prioritizes honesty. Assuming time management is integrity risks misidentifying the value, potentially neglecting truthful documentation, critical to avoid in ensuring professional integrity in nursing care and documentation practices.

A colleague graduating simultaneously lacks the experience to mentor effectively, as mentorship requires seasoned guidance. An experienced preceptor is ideal. Assuming a peer is suitable risks inadequate support, potentially hindering professional growth, critical to avoid in ensuring a novice nurse’s development through expert mentorship in early career stages.

A unit manager friend may have bias, compromising objective mentorship; an experienced preceptor is better suited. Assuming a friend is ideal risks unprofessional guidance, potentially affecting career development, critical to avoid in ensuring impartial, expert mentorship for a novice nurse in early career growth.

A nurse educator focuses on broad education, not individualized clinical mentorship like a preceptor. Assuming an educator is best risks less hands-on guidance, potentially limiting practical skill development, critical to avoid in ensuring a novice nurse receives tailored, experiential mentorship for effective career progression.

STIs do not typically cause abnormal PaCO2, which reflects respiratory or metabolic issues, unlike COPD’s impact on CO2 retention. Assuming STI is likely risks misdiagnosis, potentially delaying respiratory intervention, critical to avoid in ensuring accurate assessment and treatment based on arterial blood gas abnormalities in clients.

CRF may cause metabolic acidosis, affecting pH, but PaCO2 is primarily respiratory, making COPD more likely. Assuming CRF is the cause risks overlooking airway issues, potentially delaying ventilation support, critical to prevent in ensuring precise diagnosis and management of abnormal PaCO2 in clients.

CHF may cause pulmonary edema, but PaCO2 is less directly affected than in COPD’s chronic CO2 retention. Assuming CHF is primary risks missing airway obstruction, potentially delaying respiratory care, critical to avoid in ensuring correct diagnosis and treatment of abnormal PaCO2 in clients.

Vitamin C supports immunity but is not specific for alcoholism, where thiamine prevents Wernicke’s encephalopathy. Assuming vitamin C is ordered risks neglecting neurological protection, potentially leading to irreversible brain damage, critical to avoid in ensuring comprehensive care for clients with chronic alcohol use disorders.

Magnesium corrects electrolyte imbalances but is less urgent than thiamine for preventing neurological complications in alcoholism. Assuming magnesium is primary risks delaying critical B1 administration, potentially leading to encephalopathy, critical to avoid in ensuring prioritized, evidence-based care for clients with alcohol use disorders.

Albumin treats hypoalbuminemia, not a primary concern in acute alcoholism, where thiamine is critical for brain protection. Assuming albumin is ordered risks overlooking neurological risks, potentially causing preventable complications, critical to prevent in ensuring appropriate, targeted therapy for clients admitted with alcoholism.

Physical therapy at 4:30 p.m. is unlikely to disrupt nighttime sleep, unlike frequent antibiotic administration. Assuming therapy causes sleep issues risks misidentifying the problem, potentially overlooking actual sleep disruptors, critical to avoid in ensuring accurate nursing diagnoses and effective rest promotion for clients.

Blood glucose checks 4 times daily are spaced and less invasive, minimally impacting sleep compared to 3-hourly antibiotics. Assuming checks cause sleep disturbance risks incorrect prioritization, potentially neglecting significant disruptors, critical to prevent in ensuring proper sleep pattern assessment and care planning for clients.

Opioids cause sedation, promoting sleep, not difficulty remaining asleep, unlike frequent antibiotics. Assuming opioids disrupt sleep risks misdiagnosis, potentially leading to inappropriate interventions, critical to avoid in ensuring accurate nursing diagnoses and effective rest management for clients on analgesic therapy in hospitals.

Problem-solving involves addressing specific issues, not reflecting on feedback, which is self-evaluation. Assuming problem-solving is illustrated risks misidentifying the skill, potentially overlooking personal growth, critical to avoid in recognizing leadership development in graduate nurses reflecting on performance feedback in professional settings.

Interpersonal skills involve interactions, not internal reflection on feedback, which is self-evaluation. Assuming interpersonal skills are shown risks missing the introspective process, potentially undervaluing self-assessment, critical to avoid in recognizing leadership qualities in graduate nurses processing performance feedback for growth.

Communication skills focus on exchanging information, not reflecting on feedback, which is self-evaluation. Assuming communication is illustrated risks overlooking the reflective process, potentially hindering recognition of self-assessment, critical to prevent in valuing leadership skills in graduate nurses improving through feedback reflection.

Potential for Grieving implies future risk, not current sorrow and crying, which indicate active anticipatory grieving. Assuming potential grieving is correct risks underestimating current emotional needs, potentially delaying support, critical to avoid in ensuring timely, compassionate care for families facing imminent loss.

Dysfunctional Grieving suggests abnormal responses, not applicable to normal sorrow and crying, which fit anticipatory grieving. Assuming dysfunctional grieving risks mislabeling healthy emotions, potentially stigmatizing the family, critical to prevent in supporting normal grief processes in families of dying cancer clients.

Dysfunctional Grieving with age regression is inappropriate, as sorrow and crying are normal, not regressive, indicating anticipatory grieving. Assuming dysfunction risks misdiagnosing healthy grief, potentially disrupting family support, critical to avoid in ensuring appropriate emotional care for families facing cancer-related loss.

Disturbed sensory perception involves altered sensory processing, not drowsiness or depression from reduced stimulation, which indicates sensory deprivation. Assuming perception issues risks missing social isolation effects, potentially delaying interventions, critical to avoid in addressing emotional and cognitive decline in elderly long-term care residents.

Residential psychosis is not a recognized condition; sensory deprivation explains symptoms from reduced family contact. Assuming psychosis risks misdiagnosis, potentially leading to inappropriate treatments, critical to prevent in ensuring accurate assessment and supportive care for elderly clients in long-term care settings.

Locked-in syndrome involves motor paralysis, not drowsiness or depression, which align with sensory deprivation from isolation. Assuming locked-in syndrome risks incorrect diagnosis, potentially overlooking social needs, critical to avoid in ensuring proper emotional and cognitive support for elderly long-term care residents.