An Unconscious Patient Has a Nursing Diagnosis of Ineffective Tissue

question 34

Multiple Choice

An unconscious patient has a nursing diagnosis of ineffective tissue perfusion (cerebral) related to cerebral tissue swelling. An appropriate nursing intervention for this problem is to

• A) maintain the patient in a head-up position.
• B) position the patient with the knees and hips flexed.
• C) cluster nursing interventions to provide uninterrupted periods of rest.
• D) encourage coughing and deep-breathing to improve oxygenation.

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Definitions:

Innate

Qualities or abilities that are inherent and naturally present in an individual from birth, not acquired through learning or experience.

Conscious Perception

The awareness and interpretation of sensory stimuli while one is awake and aware.

Unconscious Psychic Energy

A concept in psychoanalytic theory referring to the underlying energy that powers human drives and desires, often outside of conscious awareness.

Person-Centered Therapy

Rogers’s approach to therapy in which the client (not the “patient”) is assumed to be responsible for changing his or her personality.