The Nurse Is Caring for a Client with a Stroke

question 26

Multiple Choice

The nurse is caring for a client with a stroke who has progressive development of neurological deficits with increasing weakness and decreased level of consciousness (LOC) . Which of the following nursing diagnoses has the highest priority for the client?

• A)Impaired physical mobility related to decrease in muscle strength
• B)Risk for injury as evidenced by alteration in cognitive function
• C)Risk for impaired skin integrity as evidenced by pressure over bony prominence (immobilty)
• D)Risk for aspiration as evidenced by impaired ability to swallow

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Definitions:

Fromm's Concept

Pertains to the theories of Erich Fromm, a psychoanalyst and social psychologist who explored the relationship between society and the individual's psychological processes.

Neurotic Anxiety

A form of anxiety that arises from an unconscious fear that one's impulses or suppressed emotions will take control, leading to unwanted behaviors or consequences.

Case Example

An instance or occurrence that is used to illustrate a principle, theory, or phenomenon.

Responsibility

The obligation to carry out duties or tasks effectively and ethically, and being accountable for the outcomes of those actions.