A Client Has Severe Right-Sided Weakness and Is Unable to Complete

question 45

Multiple Choice

A client has severe right-sided weakness and is unable to complete bathing and grooming independently.Based on this observation,the nurse identifies a nursing diagnosis of:

• A) Powerlessness
• B) Self-care deficit
• C) Tissue integrity impairment
• D) Knowledge deficit of hygiene practices

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Definitions:

Advanced Dementia

A late stage of dementia characterized by severe impairment of cognitive functions, resulting in significant dependency on others for daily living activities.

Sleep And Activity Log

A record kept to track sleeping patterns and daytime activities, often used to diagnose or treat sleep disorders.

Ego-Defense Mechanism

Psychological strategies employed by the ego to manage anxiety, conflict, and unacceptable impulses.

Dysphagia

A medical condition characterized by difficulty swallowing, which can affect a person's ability to eat, drink, and sometimes breathe.