Which statement(s) demonstrates application of the nursing process? (Select all that apply.)
a. Performing a head-to-toe assessment.
b. Updating the patient care plan on a week-ly basis.
c. Evaluating if patient goals have been met.
d. Determining if nursing interventions need to be changed based on lack of patient progress toward meeting goals.
e. Ensuring that all personnel caring for the patient are implementing the care plan and working toward the same goal.
Question 2The family becomes distressed when the dying 85-year-old patient becomes delirious and laughs and talks with old friends who have long since died. Which intervention is most appropriate?
a. Medicate the patient with the prescribed sedative.
b. Encourage a family member to talk to the patient calmly.
c. Stimulate and reorient the patient.
d. Suggest the family to leave the patient for a while.
Question 3The home health nurse is educating a 60-year-old patient with emphysema with a nutritional deficit. Which instructions should the nurse include in the teaching plan to address this problem? (Select all that apply.)
a. Rest before eating.
b. Avoiding gas-producing foods.
c. Eat four to six small meals instead of three large meals.
d. Lie down after eating.
e. Take small bites and chew slowly.
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