A nurse is completing an initial home visit with a family. Which of the following actions should be taken first by the nurse?
a. Assess the family and the home setting for both strengths and problems.
b. Determine the family's expectations of a home visit.
c. Establish rapport between the nurse and the family.
d. Engage in extended social interaction as would be expected from any guest.
ANS: C
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A client, aged 75 years, has come to the clinic with a report of frequent headaches. Immediately after
introducing herself to the client at the outset of the interview, the nurse should a. ask if the client if can hear clearly as she speaks. b. initiate a neurological assessment to determine risk for stroke. c. obtain a medication order for the client's headache. d. suggest that the client lie down in a darkened room for a few minutes.
What myth may interfere with the treatment of pain in infants and children?
a. Infants may have sleep difficulties after a painful event. b. Children and infants are more susceptible to respiratory depression from narcotics. c. Pain in children is multidimensional and subjective. d. A child's cognitive level does not influence the pain experience.
An elderly patient has acquired a urinary tract infection due to an inserted catheter during hospitalization. A nurse identifies that this infection is caused by a type of pathogen known as
1. Protozoa. 2. Helminths. 3. Bacteria. 4. A virus.
A patient with a sore throat and head cold is complaining of "trouble with hearing.". The nurse should conduct additional assessment for which most likely condition?
1. Swimmer's ear 2. A middle ear infection 3. Otosclerosis 4. An inner ear infection