Nurses in Change-Of-Shift Report Are Discussing the Care of a Patient

question 21

Multiple Choice

Nurses in change-of-shift report are discussing the care of a patient with a stroke who has progressively increasing weakness and decreasing level of consciousness (LOC) .Which nursing diagnosis do they determine has the highest priority for the patient?

• A) Impaired physical mobility related to weakness
• B) Disturbed sensory perception related to brain injury
• C) Risk for impaired skin integrity related to immobility
• D) Risk for aspiration related to inability to protect airway

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Definitions:

Cognitive Dissonance

The psychological discomfort experienced from holding two or more conflicting beliefs, values, or attitudes.

Contradictory Cognitions

Holding two or more psychological beliefs, ideas, or values that are in conflict with one another.

Social Norms

The unwritten rules that govern the behavior of individuals within a society, guiding what is considered acceptable or unacceptable.

Conform

The act of adjusting one’s behavior or thinking to match those of others or to meet societal standards.