The nurse states, "You need to take a walk." The client responds with "walk, walk, walk…." This is an example of which speech pattern?
A) Flight of ideas
B) Echolalia
C) Neologism
D) Loose association
B
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A patient is complaining of a sharp pain along the costovertebral angles. The nurse is aware that this symptom is most often indicative of:
a. Ovary infection. b. Liver enlargement. c. Kidney inflammation. d. Spleen enlargement.
Which of the following nutritional interventions should a nurse suggest to a client with alcohol dependency who is experiencing acute pancreatitis?
A) Parenteral nutrition C) Protein intake B) Low-fat diet D) Sodium and fluid restrictions
Which client goal, established by the nurse, is most important as the nurse plans care for a seizure client in the home setting?
A) The client will take the seizure medication at the same time daily. B) The client will remain free of injury if a seizure does occur. C) The client will verbalize an understanding of feelings that preempt seizure activity. D) The client will post emergency numbers on the refrigerator for ease of obtaining.
The nurse is assessing the heart of a 20-year-old adult. Which finding would be considered normal?
a. Aortic thrill b. Epigastric bruit c. Mitral click d. Audible S3