A nurse is assessing a patient for possible altered self-concept. Which assessment finding is consistent with altered self-concept?
a. Appropriately dressed with clean clothes
b. Hesitant to express opinions
c. Independent attitude
d. Holds eye contact
ANS: B
Hesitant to express views or opinions is a behavior suggestive of altered self-concept. Holds eye contact, independent attitude, and appropriate appearance are all signs of normal self-concept.
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A nurse wants to provide patient-centered care to a patient of another culture. Which question is the most culturally sensitive when talking about a patient's illness?
a. "What do you call your problem?" b. "How long has your child had the runs?" c. "When did you last void today?" d. "Has anyone else in your family had diarrhea?"
A nurse is aware that when a client is admitted to the emergency department with coma of unknown origin, the most helpful laboratory study that may identify the cause is a
a. creatinine level. b. glucose level. c. hemoglobin level. d. potassium level.
A patient has polymyalgia rheumatic
a. When teaching about medications, what information does the nurse provide? a. "Take the full dose of antibiotics even if you are feeling better." b. "You need to remain upright 1 hour after taking the medication." c. "Stay away from large crowds and avoid people who are sick." d. "Do not drink alcohol while taking this medication."
A patient was admitted to the emergency department after sustaining a gunshot wound to the abdomen. Hemoglobin on admission was 11.4 g/dL and is currently 9.8 g/dL. A transfusion of two units of packed red blood cells has been ordered
A nurse newly employed in the ED says, "I didn't think we gave blood until the hemoglobin is 8 or lower.". How should the nurse manager respond? 1. "You are correct.". 2. "This patient is being given blood because of the possible damage in the abdomen.". 3. "When a patient is sustaining rapid loss of significant amounts of blood, the hemoglobin standard is not honored.". 4. "Because the patient is going to surgery, we must give blood prophylactically.".