A patient who is able to elevate his or her arm, but not against resistance, should be given which rating?
1) 1
2) 2
3) 3
4) 4
ANS: 3
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A mental health client is admitted to the psychiatric unit one month after abdominal surgery. During the initial assessment, the nurse asks the client about pain. In order to provide culturally competent care, the nurse should not:
1. Acknowledge that each client holds various beliefs about pain. 2. Abstain from stereotyping a client's pain responses based on the person's culture. 3. Assume that all clients will verbally express their pain and ask for medication. 4. Respect the client's right to react to pain in whatever manner desired.
The nurse is caring for a patient whose husband is dying. The patient says that the doctors caring for her husband are very good and that she knows her husband will recover. The nurse recognizes that the patient is likely in which stage of grief?
A) Anger B) Denial C) Acceptance D) Bargaining
During the nursing assessment, a client with anorexia reports, "I allow only certain foods in the meal, cut all of the food into small pieces, and chew all of the food 200 times.". What purpose does this behavior serve for the client?
A) It is an attempt to avoid reality. B) It helps the client to manage the eating. C) It helps the client keep anxiety in control. D) It is an attempt to regulate other body functions.
Keisha is a 42-year-old married woman with two children, ages 16 and 18. She is also caring for her mother, who is in the late stages of Alzheimer's disease. The nurse would want to assess Keisha for which of the following?
A) Early signs of Alzheimer's disease B) Likelihood to engage in elder abuse C) Signs of stress D) Signs of dominance