While assessing an older adult, the nurse allows ample time for the patient to respond based on the understanding of which of the following?

A) Ample time ensures that the correct answer is given.
B) The patient is most likely experiencing irreversible memory impairment.
C) The patient is experiencing decreased cerebral oxygen flow from reduced activity.
D) Ample time is needed to weigh the pros and cons of the perceived risk for answering.


A

Nursing

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A 16-year-old girl presents at the emergency department complaining of right lower quadrant pain and is diagnosed with appendicitis. When assessing this patient, what signs or symptoms should the nurse expect to find?

A) Rigid abdomen, Levine's sign, pain relief leaning forward B) Rebound tenderness, McBurney's sign, low-grade fever C) Right lower quadrant pain, Chvostek's sign, muscle guarding D) Periumbilical pain, Trousseau's sign, pain relief with pressure

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During a health assessment interview, the nurse notices the patient has a fine tremor in the right hand and arm. The patient says, "They tell me this is a primary essential tremor. What does that mean?" What is the best response by the nurse?

1. "Essential tremor occurs 5 to 10 years before the onset of Parkinson disease." 2. "When essential tremor is a primary disorder, it is usually inherited." 3. "Essential tremor is very rare. It affects only about 100,000 people." 4. "People with essential tremor often go on to develop cardiovascular disease."

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9. When interviewing the family of a client who is suffering from alcoholism, the communication technique used by the nurse is called circular questioning. The advantage of this technique is that it

a. examines relationships. b. aids the nurse in establishing a diagnosis. c. focuses on the equilibrium of the family system. d. helps the nurse gain specific information.

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Which of the following most accurately defines the evolving concept of a family?

A) Persons who are related by common inheritance or adoption B) Persons identified as family or significant others C) Anyone living in the residence D) A mother, father, and two or more children living together

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