The nurse is assessing a patient who is experiencing a relapse of symptoms of schizophrenia. The nurse knows that the patient's abilities in which areas will have the greatest impact on the plan of care? Select all that apply
1. Listening
2. Concentration
3. Decision making
4. Retaining new information
5. Maintaining adequate coping strategies
Answer: 1, 2, 3, 4
Explanation: Nursing interventions depend on the patient's ability to concentrate and listen, retain new information, and make decisions. The patient experiencing symptom acuity associated with initial onset or relapse may experience impairment of these abilities, and this will affect the patient's plan of care. Through a multidisciplinary approach to treatment the patient will be able to develop and maintain adequate coping strategies.
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When documenting patient behavior, the LPN/LVN should
a. record subjective interpretations of patient behavior. b. avoid mentioning communicating with supervisors to report changes in condition. c. record all interventions performed and patient instruction given. d. use Wite-Out to erase errors in documentation.
Which of the following best describes a vector?
a. the point at which an infection entering the body intersects with an infection leaving the body b. the area of initial bite or contact by the disease-bearing animal or insect c. a person or animal who is infected with an organism but does not have the disease d. an animal or insect that carries the infectious organism from one host to another
A client with alcohol dependence is admitted to the hospital with pancreatitis. Which of the following interventions should be included in the client's plan of care?
A) Fluid restriction of 1,000 mL per 24 hours B) Glucometer checks b.i.d. C) High-protein diet D) Protective isolation precautions
Based on school-aged cognitive development, which teaching technique could you anticipate as being received the best?
A) Using containers of water to demonstrate how hemorrhage leads to decreased body fluid B) Asking children to conceptualize the effect of falling blood pressure C) Asking children to think through "what if" situations and blood pressure D) Explaining elevated and decreased blood pressure as a concept