Nursing Diagnosis Handbook 12th Edition Ackley Test Bank

c




Nursing Diagnosis Handbook 12th Edition Ackley Test Bank
c c c c c c c c


1.c
Duringcthecassessmentcofcacclientcwithcleft-sidedcweaknesscwhociscright-
handcdominant,cthecnursecidentifiescthatcthecclientcneedscassistancecwithcambulation.cWhichcofcthecfollowingcwould
cbecthecmostcrelevant cdefiningccharacteristiccforcthecnursingcdiagnosiscofcself-carecdeficit:cbathingcincthiscclient? c


a. Inabilityctocaccesscbathroomc
b. Inabilityctocdrycbodyc
c. Inabilityctocwashcbodyc
d. Inabilityctocregulatecbathcwaterc
ANSWER:cac
POINTS:c100c
c

2.c
Thecnurseciscdevelopingcacplancofccarecforcacclientcwhochascleft-
sidedcweakness.cSincectherecisconlycactubcforcbathingcincthechome,cthecnursecrecognizescthatcthereciscacself-
carecdeficit:cbathingcrelatedctocwhichcofcthecfollowing?c
a. Severecanxietyc
b. Environmentalcbarriersc
c. Inabilityctocperceivecbodycpartc
d. Inabilityctocperceivecspatialcrelationshipsc
ANSWER:cbc
POINTS:c100c
c




3.c GRADESLAB.COMc
Thecnurseciscplanningccarecforcacclientcwithcseverecdementiacwhocbecomescagitatedcduringcbathing.cWhichcofcthecfol
lowingcoutcomescwouldcbecmostcapplicablecforcthiscclient’scnursingcdiagnosiscofcself-carecdeficit:cbathing?c
a. Clientcwillcstatecsatisfactioncwithcabilityctocusecadaptivecdevicesctocbathe.c
b. Clientcwillcbathecselfcsafelycwithcminimalcdifficulty.c
c. Clientcwillcbathecwithcassistancecofccaregivercascneededcandcreportcsatisfaction.c
d. Clientcwillcbathecwithcassistancecwithoutcexhibitingcdefensivecbehaviors.c
ANSWER:cdc
POINTS:c100c
4.c
Thecnurseciscdevelopingcthecplancofccarecforcacclientcwithcdementia.cWhichcofcthecfollowingcinterventionscshouldcth
ecnursecincludectocpreservecthecclient’scdignitycduringcbathing?c
a. Providecprivacycandcencouragecclientcparticipation.c
b. Givecanalgesicsc30cminutescpriorctocbathing.c
c. Providecclientcwithcacpaddedcshowercchair.c
Page 1

, d. Usecacprepackagedcbath.c
ANSWER:cac
POINTS:c100c
c

5.c
Incplanningccarecforcacclientcwithcdementia,cthecnursecshouldctrainccaregiverscbathingcthecclientctocusecwhichcofc




Page 2

, thecfollowingcbehaviorsctocreducecaggressioncincthecclient?c
a. Avoidcpriorccueingcforcclient.c
b. Increasecthecspeedcofcthecbath.c
c. Preparecclientcbeforecwatercspray.c
d. Washcclient’schaircandcfacecfirst.c
ANSWER:ccc
POINTS:c100c
c

6.c
Thecnurseciscplanningccarecforcacclientcwhochascseverecarthritiscandchascveryclimitedcfinecmotorchandcdexterity.cWhi
chcofcthecfollowingcwouldcthecnursecidentifycascthecmostcrelevantcdefiningccharacteristiccforcthiscclientcforcthecnursi
ngcdiagnosiscofcself-carecdeficit:cdressing?c
a. Inabilityctocchoosecclothingc
b. Inabilityctocmaintaincappearancec
c. Inabilityctocuseczippersc
d. Impairedcabilityctocobtaincclothingc
ANSWER:ccc
POINTS:c100c
c

7.c
Thecnurseciscdevelopingcacplancofccarecforcacclientcwhochascadvancedcdementia.cThecnursecrecognizescthatcthereciscac
self-carecdeficit:cdressingcrelatedctocwhichcofcthecfollowing?c
a.cAnxietyc GRADESLAB.COMc
b. Cognitivecimpairmentc
c. Environmentalcbarriersc
d. Weaknessc
ANSWER:cbc
POINTS:c100c
c8.
c

Thecnurseciscplanningccarecduringcrehabilitationcforcacclientcwhocexperiencedcleft-
sidedcweaknesscfollowingcacstroke.cWhichcofcthecfollowingcoutcomescwouldcbecthecmostcdesirablecforcthiscclient’sc
nursingcdiagnosiscofcself-ccarecdeficit:cdressing?c
a. Clientcwillcdresscandcgroomcselfctocoptimalcpotential.c
b. Clientcwillcidentifyctypescofcassistivectechnology.c
c. Clientcwillcbecdressedcbycaccaregiver.c
d. Clientcwillcexplorecpotentialcbarriersctocdressing.c
ANSWER:cac
POINTS:c100c
c

9.c
Acclientchadcacrecentcfallcandchascresidualcdizziness.cWhatcactioncbycthecnursecbestcpromotescsafetycforcthecclientcdu
ringcdressing?c
a. Havecthecclientcsitcforcascmuchcdressingcascpossible.c

Page 3

, b. Performcthecmajoritycofcdressingcforcthecclient.c
c. Teachcthecclientctocholdcthecbedcwithconechand.c
d. Usecacgaitcbeltcinccasecthecpatientcfallscduringcdressing.c
ANSWER:cac
POINTS:c100c
c

10.c
Thecnurseciscteachingcacclientcwhochascright-
sidedcweaknesscduectocacstrokecmethodscforceasiercdressing.cWhichcofcthecfollowingcinterventionscshouldcthecnurs
ecincludecincthiscteachingcsession?ca.cStandcwhilecdressing.c
b. Usecclothingcthatcfastenscincthecback.c
c. Usecsmartcmachine-basedcprompting.c
d. Dresscthecaffectedcsidecfirst.c
ANSWER:cdc
POINTS:c100c
c

11.c
ThecnurseciscplanningccarecforcacclientcwhochascParkinson’scdiseasecwithcseverechandctremors.cWhichcofcthecfollowi
ngcwouldcthecnursecidentifycascthecmostcrelevantcdefiningccharacteristiccforcthiscclientcforcthecnursingcdiagnosiscofcs
elf-carecdeficit:cfeeding?c
a. Inabilityctoccookcfoodc
b. Inabilityctocchewcfoodc

c. Inabilityctocbringcfoodctocmouthc GRADESLAB.COM c




d. Impairedcabilityctocmanipulatecfoodcincmouthc
ANSWER:ccc
POINTS:c100c
c

12.c
Thecnurseciscdevelopingcacplancofccarecforcacright-
handcdominantcclientcwhochadcacrightcrotatorccuffcrepair.cThecnursecrecognizescthatcthereciscacself-
carecdeficit:cfeedingcrelatedctocwhichcofcthecfollowing?ca.cEnvironmentalcbarriersc
b. Musculoskeletalcimpairmentc
c. Neuromuscularcimpairmentc
d. Perceptualcimpairmentc
ANSWER:cbc
POINTS:c100c
c

13.c
Thecnurseciscplanningccarecforcacclientcwhociscleft-handcdominantcandciscexperiencingcright-
sidedcweaknesscandcacfrequentccoughcfollowingcacstroke.cWhichcofcthecfollowingcoutcomescwouldcbecthecmostcdesi
rablecforcthiscclient’scnursingcdiagnosiscofcself-carecdeficit:cfeeding?c
a. Clientcwillcfeedcselfcsafely.c
b. Clientcwillcidentifycassistivectechnologycforcfeeding.c
c. Clientcwillcusecadaptivecutensilscforcfeeding.c
Page 4