During the admission nursing assessment for a new client, the nurse recognizes which objective assessment data consistent with a diagnosis of major depression?
1. Fatigue
2. Feeling sad
3. Psychomotor retardation
4. Impaired concentration
3
Rationale: The nurse observes psychomotor retardation, which is objective data. Fatigue, feeling sad, and impaired concentration are subjective data reported by the client.
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The nurse is planning care to address health care needs for a non-English-speaking patient and family. What would the nurse use as a guide for this care?
A. Checklist B. Standardized care plan C. Nursing textbook D. Care map
Therapeutic communication:
a. facilitates the formation of a positive nurse-patient relationship. b. manipulates the patient. c. assigns the patient a passive role. d. requires the patient to accept what the nurse says.
The nurse is monitoring the lab results of a child with nephrotic syndrome. The child now has elevated serum cholesterol and triglyceride levels and falling serum protein levels. The IgG levels are diminished
Red blood cell and platelet concentrations are increased. The nurse realizes that the lab reports indicate this child is at risk for: a. anemia c. bleeding problems b. coagulation or clotting problems d. infection
A nurse would like to become involved in political action. Which of the following actions would be most appropriate for the nurse to accomplish this goal? (Select all that apply.)
a. Become a member of the state nurses association. b. Be friendly with everyone, whether supportive or not of your ideas. c. Don't expend time on local activities but ask to be appointed on the state level. d. Focus all your efforts on your specialty practice area and your employment site act.