When preparing the discharge plans for a patient with chronic anxiety, Nurse Barbara evaluates the goals that were set for the patient
Nurse Barbara also evaluates if the patient has achieved the discharge long-term goals. Which goal would be most appropriate to be include in the plan of care requiring evaluation?
A.
The patient is completely stress free.
B.
The patient ignores their feelings of anxiety.
C.
The patient is able to identify triggers that produce anxiety.
D.
The patient maintains contact with a crisis counselor.
ANS: C
Recognizing triggers that produce anxiety will permit the patient to cope with anxiety or avoid specific triggers. Response C is the most realistic and measurable goal.
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An 85-year-old patient is admitted through the emergency department for confusion and disorientation. The family states, "We don't know what is wrong. He has been fine at home
This confusion just started 2 days ago and seems like it is getting worse." What is the most appropriate first response for the nurse to make? a. "We will have to place him in temporary restraints for safety purposes." b. "Can you tell me about his home medications and other illnesses he has?" c. "Sometimes older people become more confused when they are away from home." d. "He is 85 years old and this is the age group when Alzheimer's disease begins."
You are initially evaluating the equilibrium of Ms. Q. You ask her to stand, with her feet together and arms at her sides. She loses her balance. Ms. Q has a positive:
a. Kernig sign. b. Homan sign. c. McMurray test. d. Romberg sign.
The body depends on all of the substances for life processes except
A. vitamins. B. proteins. C. fibers. D. minerals.
Which behavior is most characteristic of a conduct disorder?
a. Frequently getting up and interrupting while being read to b. Only apologizes for hitting a friend to avoid being punished c. Finds it difficult to spend the night away from family members d. Becomes extremely agitated when the television is turned off