You are caring for a trauma patient who was blinded in a snowmobile accident. Your plan of care for this patient includes mobility training. What must you assess on this patient prior to starting mobility training?
A) Patient's strength
B) Family's ability to assist
C) Patient's ability to remember things
D) Readiness of patient and his or her family to learn
Ans: D
Feedback: The readiness of the patient and his or her family to learn must be assessed before initiating orientation and mobility training. Assessing the patient's strength and memory is not something that needs to be assessed before starting mobility training. The family's ability to assist the patient has already been assessed before the care plan included mobility training.
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A) Beneficence for the patient B) One member has the durable power of attorney. C) One member is the legal next of kin. D) As the patient is comatose, someone must decide.
An older patient who just celebrated an 85th birthday comes into the emergency department with a fractured arm and bruises over the chest and back. The nurse suspects the patient is a victim of physical abuse
Which individuals will the nurse specifically assess the patient as being the abuser? Standard Text: Select all that apply. 1. Spouse 2. Nephew 3. Granddaughter 4. Next door neighbor 5. Adult daughter caregiver
What explanation about the unit milieu would be most important for the nurse to give to a newly admitted patient?
a. "Your behavior will be carefully monitored during your hospital stay." b. "Unit activities will help you cope with immediate needs and stressors." c. "You will be given enough medication to bring your symptoms under control." d. "I will be gathering information about you to plan your care and your discharge."
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A. Children under 5 years of age. B. Pregnant or disabled women. C. Single-parent households. D. Two-parent households.