The nurse is caring for a woman in the emergency room who is complaining of chest pain. She states that she was walking from her apartment to the grocery store when the pain became very severe. She reported that people were following her
She said she couldn't really see them but she could hear them talking about "grabbing me." While the woman is explaining the event, she alternates between wringing her hands and manipulating the items in her purse over and over. The nurse would obtain what further assessment data in this situation? 1. Spiritual affiliations
2. Dietary preferences and habits
3. Review of systems
4. Focused psychosocial interview
4
Rationale 1: A spiritual assessment and dietary preferences are important, but the psychosocial interview would be a priority given the behaviors exhibited.
Rationale 2: A spiritual assessment and dietary preferences are important, but the psychosocial interview would be a priority given the behaviors exhibited.
Rationale 3: The physical examination is conducted after the interviewing is complete.
Rationale 4: The woman is exhibiting bizarre behavior and her story indicates some paranoia; therefore, a focused psychosocial interview is warranted.
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How do children differ from adults? (Select all that apply.)
a. Higher metabolic rate b. Greater surface area in relation to their weight c. Less mature organ systems d. More fluid reserves e. Continuously changing growth and development pattern
A nurse is working in a public health nursing setting. Which of the following best describes why this specialty is appealing to nurses?
a. Interactions with wealthy contributors to secure funding b. Autonomy and independence of practice c. Ability to locate the source of diseases and cure patients d. Opportunities to meet a variety of people
In the United States, the majority of health care dollars are spent on:
a. prescription drugs. b. hospital care. c. physician services. d. public health services (PHSs).
A patient in the clinic reports heartburn 30 minutes after meals, a feeling of fullness, frequent belching, and a constant sour taste. The patient has a normal weight and reports having a high-stress job. The primary care NP should recommend:
a. antacid therapy as needed. b. changes in diet to avoid acidic foods. c. daily treatment with a PPI. d. consultation with a gastroenterologist for endoscopy.