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The nurse is caring for a patient who has undergone abdominal surgery.The patient stated prior to surgery that "I don't think I'll be able to handle this if I get a colostomy.I wouldn't know how to manage it." There is no "next of kin" listed in the patient's record.The patient is complaining of severe surgical pain.The nurse is correct when addressing which nursing diagnosis first?


A) Pain
B) Alteration in body image
C) Knowledge deficit
D) Risk for falls

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Which should the nurse address first?


A) Pain
B) Hunger
C) Decreased self-esteem
D) Absence of pulse

Correct Answer

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Setting priorities among identified nursing diagnoses is the first step in the planning process.The nurse is responsible for:


A) monitoring patient responses.
B) carrying out the physician's plan of care.
C) providing all interventions.
D) preventing interference from other disciplines.

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The nurse has a thorough understanding of the planning phase of the nursing process when stating:


A) "Patients should be included in the planning process."
B) "Patient families should not interfere in the planning process."
C) "The planning process should focus on short-term goals only."
D) "Planning is the first phase of the nursing process."

Correct Answer

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Physical therapy,home health care,and personal care are examples of:


A) collaborative interventions.
B) dependent nursing interventions.
C) independent nursing interventions.
D) assessment data.

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