While A.G. is on the way, you secure the hospital's interpreter service on the telephone. A.G.arrives on your unit with her grandson. You admit A.G. to her room and introduce yourselfas her nurse
As her grandson introduces her, she pats your hand. You know that you need to
complete a physical examination and take a history.
What will you do first?
• First, establish rapport. Her patting your hand might be a cue. You should take her hand when you
talk to her and address her.
• Watch A.G.'s condition. If she appears weak, you might have to wait to get a detailed history when
she can think more clearly. First, cover the basics in your assessment, in case you have to wait until
later for more detail.
• If she looks as though she can tolerate an examination and history, get both.
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The nurse is assisting a patient in planning to return to work after an extensive illness. The patient's need for self-fulfillment fits in which level of Maslow's Hierarchy of basic needs?
A) Physiologic B) Safety and security C) Love and belonging D) Self-actualization
You are admitting a patient who is terminally ill to the hospice facility where you work. Part of the admission process is assessing the patient's spiritual strength
Which question would you be sure to ask during the assessment of a patient's spiritual strength? A) Do you have adequate family support? B) How do you perceive yourself? C) Have your spiritual beliefs and values changed since you became ill? D) How does your family perceive you?
A 9-year-old child has received a diagnosis of autistic disorder. A psychiatric nurse frequently visits the child and his family, which includes a second son who is 3 years old
Which behavior should the nurse regard as age appropriate for the 3-year-old child and not indicative of autistic disorder? A) Intense fascination with fans B) Parallel play C) Lack of eye contact D) Does not smile
Antidiuretic hormone (ADH) is released from the:
a. hypothalamus. b. posterior pituitary gland. c. anterior pituitary gland. d. adrenal gland.