The client has had a cerebral vascular accident (CVA) and now cannot speak. It is unclear from assessment if the client understands spoken words. What NANDA nursing diagnosis problem statement would be used for this client?
What will be an ideal response?
Correct Answer: Disturbed Sensory Perception
Rationale : This nursing diagnosis is used when the client exhibits a diminished, exaggerated, distorted, or impaired response to incoming stimuli.
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The following types of patients require adaptive communication techniques (select all that apply):
A. A patient who is blind. B. A patient who has dysphasia. C. A patient who is schizophrenic. D. A patient who is elderly. E. A patient with dysphagia. F. A patient who has language differences from the staff.
After teaching a client how to use an estradiol transdermal system, the nurse determines that the teaching was successful when the client states which of the following? Select all that apply
A) "I can put the patch on my breasts." B) "I should rotate the sites, staying away from the same site for about a week." C) "When I apply it, I should rub the patch vigorously for about 10 seconds." D) "I apply the patch immediately after I open the pouch." E) "If the area is oily or irritated, I need to avoid that area."
When helping to intervene in a crisis situation, it is important for nurses to:
A) Do everything that the patient in crisis requests B) Assure the patient that everything will be fine if he or she just calms down C) Place the person in four-point restraints D) Honestly reinforce the patient's strengths and abilities
Which oral drug classification is indicated for patients with eczema who have developed sensitivity to topical preparations?
A. nonsteroidal anti-inflammatory drugs B. vasoconstrictors C. antibiotics D. antihistamines