The nurse is conducting a health history assessment for an older adult patient. Which patient statement would cause the nurse to suspect abuse?
1) "I feel very safe in my children's home. They take good care of me."
2) "I have been experiencing dizzy spells. My son is afraid that I will fall."
3) "I see a new doctor every couple of months. My daughter always wants me to switch."
4) "My son puts all my medications for the day in a divider. He wants to be sure that I don't take too many."
ANS: 3
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A 4-month-old child is at the clinic for a well-baby check-up and immunizations. Which of these actions is most appropriate when the nurse is assessing an infant's vital signs?
a. The infant's radial pulse should be palpated, and the nurse should notice any fluctuations resulting from activity or exercise. b. The nurse should auscultate an apical rate for 1 minute and then assess for any normal irregularities, such as sinus arrhythmia. c. The infant's blood pressure should be assessed by using a stethoscope with a large diaphragm piece to hear the soft muffled Korotkoff sounds. d. The infant's chest should be observed and the respiratory rate counted for 1 minute; the respiratory pattern may vary significantly.
A woman comes to the clinic, and the nurse believes that she is speaking French. She seems to understand English. A provider will need to complete a physical examination to confirm the health problem
Which of the following actions should be taken by the nurse? a. Ask the client if she prefers a male or female provider b. Ask a female provider to assume care c. Ask the physician provider to see her immediately d. Ask the secretary in the office who speaks French to assist in collecting a health history from the client
A physician orders a nurse to give a patient a placebo instead of her scheduled opiate medication because he doesn't believe that the patient is really experiencing pain. The nurse refuses to do so but tells the physician he is happy to talk with the
patient about her pain and whether they could try decreasing the dosage of her pain medication. This is an example of which element of ethical decision making? 1. Values clarification 2. Stakeholder identification 3. Moral hierarchy exploration 4. Integrity-preserving compromise
What should a nurse suspect a patient diagnosis might be when the patient states, "I often feel restless, have a tight sensation in my chest, and have an increased heart rate at times"?
a. Anxiety disorder b. Panic disorder c. Agoraphobia d. Obsessive-compulsive disorder