Nursing instructor recognizes that teaching has been effective if a student who is providing care for a patient with right-sided weakness reports:
1. "The top of the cane is level with the iliac crest."
2. "The patient is holding the cane in the right hand."
3. "The top of the cane is even with the patient's hip joint."
4. "The base of the cane is even with the tip of the patient's shoe."
ANS: 3
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While assessing your patient, you realize the patient is experiencing a manic episode. You will most likely expect (select all that apply):
A. Decreased need for sleep. B. Extreme irritability. C. Extreme depression. D. A surge of energy. E. A loss of interest in ordinary activities.
The nurse is planning time to conduct an educational session with a client. Client education is important because it:
a. requires a physician's order before the nurse can implement a teaching plan. b. is a fiscally responsible intervention that encourages consumers to engage in healthy lifestyle practices. c. must be done in the outpatient setting because acute care nurses do not have time to teach. d. is the responsibility of the primary care physician.
Describe the 90-90-90 position.
What will be an ideal response?
The nurse is caring for a patient who has been diagnosed with sexual masochism. Which information about this paraphilia should the nurse keep in mind when planning care for this patient?
1. The main components are pain, loss of control, and humiliation. 2. The erotic target is an object or body part other than the genitals. 3. It includes touching or rubbing against another person without consent. 4. Sexual arousal is associated with causing mental or physical suffering to another person.