A patient stating he has experienced "déjà vu" or having experienced something before it happens may have what type of seizure activity?
A) Generalized
B) Myoclonic
C) Psychic
D) Absence
C
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The nurse receives a call from the spouse of a client with chronic alcoholism. The spouse reports that the client has been having hallucinations, and just had a brief seizure. The nurse directs the spouse to:
1. Give him a glass of alcohol and see if he gets better immediately. 2. #him about any medications he might have taken. 3. Call the physician and inform her of the client's condition. 4. Call EMS and have him taken to the hospital Emergency Department.
The nurse is working with a rehabilitation patient who has a deficit in mobility following a skiing accident. The nurse knows that preparation for ambulation is extremely important
What nursing action will best provide the foundation of preparation for ambulation? A) Stimulating the patient's desire to ambulate B) Assessing the patient's understanding of ambulation C) Helping the patient perform frequent exercise D) Setting realistic expectations
A nurse is caring for an Irish client who has recently lost his wife. The client tells the nurse that he is planning an elaborate wake and funeral. According to George Engel, what purpose would these rituals serve?
1. To delay the recovery process initiated by the loss of the client's wife 2. To facilitate the acceptance of the loss of the client's wife 3. To avoid dealing with grief associated with the loss of the client's wife 4. To eliminate emotional pain related to the loss of the client's wife
After ignoring a unit rule regarding being weighed, a patient receiving treatment for an eating disorder tells the nurse, "I can't get weighed this morning, because I drank a glass of juice a few minutes before breakfast."
Which statement by the nurse is consistent with treatment principles? a. "I'm pleased that you took in some calories." b. "This is weight day. Please step on the scale." c. "We need to discuss why you chose to ignore the rules about being weighed." d. "The rule is ‘weigh before eating'; now we have to put it off until tomorrow."