A Patient with a Nursing Diagnosis of Skin Integrity, Impaired

question 8

Multiple Choice

A patient with a nursing diagnosis of Skin integrity, impaired, related to surgery as evidenced by disruption of skin surface has the following nursing documentation: "Incision clean, dry, intact. No pain or tenderness. Instructed to keep area dry, may wear light dressing to protect from clothing. Verbalizes understanding of wound care and ability to manage at home. Wound healing without complication." This documentation is:

• A) an example of charting by exception.
• B) evidence of the use of the nursing process.
• C) using the problem-oriented medical record (POMR) format.
• D) usually entered on a flow sheet for treatments and vital signs.

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Definitions:

Generalized Arousal

Refers to a state of heightened physiological and psychological activity that is not directed towards a specific object or situation, often associated with stress or anxiety.

Emotion

A complex psychological state involving an individual's subjective experience, physiological response, and behavioral or expressive response.

Intense Emotions

Strong feelings that are deeply felt and can influence behavior and thinking significantly.

Emotional Arousal

The state of being emotionally stimulated or excited, which can influence attention, motivation, and memory.