C reassurance that t - Study guides, Class notes & Summaries

The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving enteral tube feedings. Which task performed by the UAP requires immediate intervention by the nurse? A.Suctions oral secretions from mouth B.Positions head of bed flat when changing sheets C.Takes temperature using the axillary method D.Keeps head of bed elevated at 30 degrees B Rationale: Positioning the head of the bed flat when enteral feedings are in progress puts the client at risk for aspiration ...

Maryville University NURS 661 Exam 3 MegaDeck Rated A Who is at highest risk of suicide? Schizophrenia White, elderly men Single, never married, divorced, recently widowed Previous attempts Adolescents with depression, bullied, or family hx of suicide Who is most likely to succeed at committing suicide? What are some protective factors for suicide? Older while males Having children Religion Stronger alliances with medical providers and therapists What is lethality? ...

PMHN Original Exam 185 Questions with Verified Answers A rape victim with multiple injuries has been brought to the ED for evaluation and treatment. The first thing that the PMHN should communicate is: a. "I'm so sorry this happened to you" b. "You are safe here. No one can hurt you" c. "This was not your fault" d. "I'm thankful you survived this attack" - CORRECT ANSWER b. "You are safe here. No one can hurt you" A patient has signed the consent for for ECT under pressur...

A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following responses by the newly licensed nurse requires additional teaching regarding nonverbal communication? A. Personal space B. Posture C. Eye contact D. Intonation - D. Intonation Intonation is the tone of one's voice and can communicate a variety of feelings. A nurse is communicating with a client on the acute mental health facility. The client states, "I can't sle...

1. Following a motor vehicle collision, a 3-year-old girl has a spica cast applied. Which toy is best for the nurse for this 3-year-old child? A. Duck that squeaks. B. Fashion doll and clothes. C. Set of cloth and hand puppets. D. Hand held video game. - C. Set of cloth and hand puppets. 1. The nurse is measuring the frontal occipital circumference (FOC) of a 3-months old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to b...

A nurse is assessing a family's dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of a boundary issues? A. An adolescent family member who questions parental authority B. A family with three generations in the same household C. Older children who are responsible for their younger siblings D. Two adults and their children from prior relationships in the same household - Correct: C - This is an example of enmeshed boundaries i...

A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply). A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression. C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote m...

The registered nurse (RN) notifies the spouse of a client who was admitted to hospice with shallow respirations, of a change in the client's condition. Over the past hour, the client's respiratory pattern has changed to a Cheyne Stokes pattern. After receiving this information, the client's spouse begins vacuuming around the bed. Which stage of grief is the spouse displaying during the visit? A. Acceptance B. Denial C. Bargaining D. Depression - B. Denial The spouse is exhibiting the fi...

Rosh Review Questions and Answers Already Passed A patient presents with dizziness. Romberg testing with the eyes open is normal, but with the eyes closed, the patient sways and almost falls over. Given this Romberg test result, pathology in which of the following systems is most likely? A Cardiovascular B Cerebellar C Vestibular D Visual Vestibular In the US, what is a common cause of imbalance due to peripheral disease? Diabetic distal peripheral polyneuropathy An elderly man complains o...

A charge nurse in discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all) a. "To assess cognitive ability, I should ask the client to count backward from sevens" b. "To asses affect, I should observe the client's facial expressions" c. "To assess language ability, I should instruct the client to write a sentence" d. "To assess remote mem...