A client who experienced a stroke that left residual left hemiplegia will not wash the left side or use her good limbs on the right to move or adjust the limbs on the left. The most appropriate diagnosis for this client is

a. Altered Physical Mobility.
b. Ineffective Coping.
c. Self-Care Deficit.
d. Unilateral Neglect.


D
Unilateral Neglect describes a condition in which the client has no awareness of one side of the body. Clinical manifestations of unilateral neglect include failure to (1) attend to one side of the body, (2) report or respond to stimuli on one side of the body, (3) use one extremity, and (4) orient the head and eyes to one side. Because of this condition, the client could have a partial Self-Care Deficit and may also experience Ineffective Coping, but the reason behind the problem remains the lack of awareness of that one side.

Nursing

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a. 16% c. 20% b. 12% d. 10%

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When can the LPN/LVN apply a physical restraint to a resident in a long-term care facility? (Select all that apply.)

a. If an order for the restraint is obtained within 12 hours of application. b. If all other measures have been attempted and failed. c. If documentation is made on all failed at-tempts. d. If the family is unable to stay with the resident. e. If the least restrictive device is chosen.

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