What should Mr. Ivanos be able to do to demonstrate a positive change? How well, or how soon, should he be able to do it?


Chapter 5



Suppose a nurse sees one of your student care plans and says to

you,“You’re wasting your time writing those things. We never use the nursing process in the real world.” Take a few minutes to write how you might respond


Answer the following questions for Ben Ivanos’s nursing diagnosis of Acute Pain secondary to musculoskeletal trauma (arms, legs, body) and muscle spasms:

What would be the opposite, healthy response to his problem? What changes should you see in appearance, body functions, symptoms, knowledge, and emotions? If the problem is prevented or solved, how will Mr. Ivanos look or behave? What will you be able to observe (e.g., see, hear, smell, taste, or touch)? What should Mr. Ivanos be able to do to demonstrate a

positive change? How well, or how soon, should he be able to do it?


Chapter 6


Give one example of a direct-care intervention. Give one example of an indirect-care intervention.


What are some other examples of independent interventions? What are some other examples of dependent interventions? What are some other examples of collaborative intervention.


For the following nursing diagnoses, write one intervention to address the problem and one for the etiology of the problem. Ineffective Airway Clearance r/t thick secretions and decreased chest expansion secondary to dehydration and pain Self-Care Deficit: Bathing and Dressing r/t fatigue secondary to disturbed sleep pattern


Chapter 7


For your patient, Jeannette:

Which activity did the nurse delegate to someone else? What collaborative activities should the nurse consider?


The outcome “Patient will not complain of pain” by itself is not a valid criterion for measuring pain. Why? What would be a more valid criterion for pain? A criterion reads, “Measures client vital signs once per shift, or as prescribed.” For which of the following standards would it be valid (that is, which conclusion could you draw if you knew that a nurse measured the vital signs once per shift, or as prescribed)? Follows unit policies. Performs skills accurately


For each of the following goals, when or how often should the nurse collect evaluation data? Will rate pain as <3 on scale of 1 to 10 within 1 hr after medication. Will lose 1 lb per week until weight of 125 lb is achieved. By the second home visit, mother will demonstrate proper

techniques for breastfeeding.


Chapter 8


Write a paragraph describing a clinical experience in which you applied or observed one or both of the caring theories. Record your thinking on a piece of paper, and be prepared to share it with your classmates. You may title it “My Experience in Caring.”


Your patient is grimacing, groaning, and holding his hands over his abdominal incision. You induce that the patient is having incision pain. How could you be sure your induction is factual (true)? In the example of deductive reasoning (above) you deduced that your emergency department patient with pyelonephritis will have a temperature and back pain. How confident are you that this is actually so? How could you be more certain your deduction is correct?


Chapter 9

Which stage in Havighurst’s developmental task theory contains

the most complex tasks and would be the most difficult to master? Why?


Recall Miguel, a 2-month-old, in the Meet Your Patients scenario. How might a prolonged hospitalization affect his growth and development? What nursing actions would you take to offset developmental delay


Chapter 10

How elder-friendly is the community in which you living


What factors contribute to a community of functionally active older adults?

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