During an interview, a client tells the nurse that he has a feeling of a connection to a higher power. The nurse interprets this as which of the following?
A) Spirituality
B) Transcendence beyond self
C) Cultural identity
D) Religiousness
Ans: B
Transcendence beyond self is characterized by a feeling of connection with and mutuality to a higher power. Spirituality develops over time and is a dynamic, conscious process, characterized by two movements of transcendence (going beyond the limits of ordinary experiences): either deep within the self or beyond the self. Religiousness refers to the participation in a community of people who gather around common ways of worshiping. Cultural identity is a set of cultural beliefs with which one looks for standards of behavior.
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The system-wide AHPTF should conduct a gap analysis. What should be evaluated?
a. Differences between standards and poli-cies and procedures b. Differences between pieces of the pro-gram that are and are not in place c. Similarities between standards and poli-cies and procedures d. Similarities between pieces of the program that are and are not in place
During an assessment, the nurse determines a client is demonstrating symptoms of a psychosis. Which clinical manifestations did the nurse find during the assessment of this client?
Standard Text: Select all that apply. 1. The client says, "The servants need to be disciplined." 2. The client says, "The voice told me to cut myself." 3. The client laughs when asked about the health of a family member hospitalized for cancer treatment. 4. The client asks to close the room door so "that man can't get to me." 5. The client says, "I have not been able to get any sleep for months."
Which of the following statements is most accurate about mental health assessments?
A) A mental health assessment should be done only when overt symptoms indicating a thought disorder are present. B) One purpose of doing a mental health assessment is to establish a therapeutic alliance with the client. C) Data from a mental health assessment will be used to confer a specific mental health condition so a targeted referral can be made. D) Areas of mental health assessment include only an assessment of mood, thought process, and cognition.
The nurse is caring for a child that just returned from a coronary arteriogram in which the catheter was placed through the left femoral artery. Which nursing actions demonstrate knowledge of the procedure? Select all that apply
A) The nurse allows the patient up to the bathroom only. B) The nurse assesses the dorsalis pedis pulse in the left foot. C) The nurse assesses the puncture site frequently. D) The nurse tells the parents that the physician will discuss the results of the procedure with them. E) The nurse assesses the patient's vital signs every 8 hours.