A withdrawn client is assessed as having distorted thinking that is not reality based. A nursing diagnosis that should be considered for her would be
A. impaired verbal communication.
B. disturbed thought processes.
C. disturbed self-esteem.
D. defensive coping.
Answer: B. disturbed thought processes.
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In the United States, which factors determine whether a client requires inpatient rather than outpatient care? (Select all that apply.)
a. Severity of the illness b. Level of dysfunction c. Suitability of the setting for treating the problem d. Anticipated diagnosis e. Level of client cooperation f. Ability to pay
Which statement is true regarding parenteral nutrition?
a. Parenteral nutrition consists of carbohydrates and fats, but not proteins. b. Patients with a known egg allergy should not receive TPN with lipid emulsions. c. Patients on peripheral nutrition should be gaining at least 2 pounds per week. d. The tubing should be changed weekly.
A nurse refers a client to an assistance program that requires the individual to find a job and/or enroll in job training program. Which program is being used?
a. Aid to Families with Dependent Children (AFDC) b. Medicaid c. Temporary Assistance to Needy Families (TANF) d. Women, Infants, and Children (WIC)
The nurse is caring for a patient during the immediate postoperative period following a rhinoplasty. Which finding is most concerning to the nurse?
a. The patient complains of being cold and chilled. b. The patient complains of nausea. c. The nurse notices the patient is swallowing frequently. d. The nurse notices drainage on the nasal drip pad.