An appropriate short-term goal for a withdrawn, isolated patient diagnosed with schizophrenia is, "The patient will:
a. participate in all therapeutic activities.".
b. define major barriers to communication.".
c. talk about feelings of withdrawal in group.".
d. consistently interact with an assigned nurse.".
D
Interacting with at least one person is desirable to reduce complete withdrawal and isolation. Such interaction provides the basis for formation of trust and the development of a nurse-patient relationship.
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A patient is on strict bed rest for 5 days. During this time he has not had a bowel movement; normally, he passes stools daily. He describes feeling bloated and uncomfortable
A nursing diagnosis that would best address a patient who is on bed rest is Constipation related to: 1) Change in previous pattern. 2) Immobility. 3) Dietary intake. 4) Change in environment.
You are observing a patient with heart failure and notice that there are pauses in his breathing. On closer examination, you notice that after the pauses the patient takes progressively deeper breaths and then progressively shallower breaths, which are followed by another apneic spell. The patient is not in any distress. You make the diagnosis of:
A) Ataxic (Biot's) breathing B) Cheyne-Stokes respiration C) Kussmaul's respiration D) COPD with prolonged expiration
Which information should the nurse provide for a client prescribed permethrin (Nix) for the treatment of body mites?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "Make certain you get the 1% lotion." B. "You should leave the lotion on your body for 10 minutes." C. "You should expect almost immediate relief from the itching." D. "You may feel some stinging or tingling while the lotion is being used." E. "You should not use this medication if you are sensitive to chrysanthemums."
The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status classification by the American Society of Anesthesiologists of ASA III. Which assessment will support this classification?
a. Normal, healthy patient b. Denial of any major illnesses or conditions c. Poorly controlled hypertension with implanted pacemaker d. Moribund patient not expected to survive without the operation