A cognitively impaired patient reports to the nurse that, "I had the best time. My husband took me out to dinner and then to a concert. The music was wonderful."
Knowing that the patient is a widow, the nurse determines her remarks are an example of: a. tangential thinking.
b. confabulation.
c. hallucination.
d. circumstantiality.
B
Confabulation means covering one's inability to remember by making up a story of something that might have happened.
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A patient is to start on misoprostol (Cytotec) therapy to produce uterine contractions. Before therapy begins, the nurse should prioritize which of the following assessments?
A) History of hypertension B) Mental status C) History of previous cesarean delivery D) Intake and output for the last 24 hours
In counseling a teenage client who has decided to relinquish her baby for adoption, the nurse should:
a. affirm her decision while acknowledging her maturity in making it. b. question her about her feelings regarding adoption. c. tell her she can always change her mind about adoption. d. ask her if anyone is coercing her into the decision to relinquish her baby.
The student nurse studying the immune system is aware that normal immunity is based on the body's ability to recognize foreign proteins and to marshal its defenses to destroy foreign matter
Which of the following statements accurately describes a function of the immune system? A) When an antigen enters the body, the body responds by producing antibodies. B) The antigen–antibody reaction releases chemical mediators known as allergies. C) An allergic reaction may occur at the first exposure to an antigen. D) Normally, the body is not able to distinguish "self" from "not self."
Moving from the side of the body toward the middle is moving in a/an _________ direction.
Fill in the blank(s) with the appropriate word(s).