Evaluation
What will be an ideal response?
Progress toward outcomes
Conduct systematic, ongoing, criterion-based evaluation
Include patient and significant others
Use ongoing assessment to revise diagnosis, outcomes, plan
Disseminate results to patient and family
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An anxious parent reports feeling his adolescent child is depressed because when the adolescent is at home he/she would sleep all the time if not woken up
Which of the following would the nurse say when conducting a comprehensive assessment about the adolescent's mental health? Standard Text: Select all that apply. 1. "What has happened that might have lead to him/her becoming depressed?" 2. "Perhaps your anxiety is affecting your adolescent child." 3. "Are there other behaviors you are concerned about?" 4. "I see you are anxious." 5. "Is there a history of depression in the family?"
When discontinuing an IV, the nurse will:
1. remove the dressing, remove the catheter, dispose of the used equipment in the "sharps" container, and chart observations and actions. 2. observe the site for redness, swelling, and pain and put on sterile gloves. Remove the dressing catheter and chart findings and action. 3. observe the site for redness, swelling, and pain and put on clean gloves. Remove the dressing and catheter, place a 2 ? 2 dressing over the site, and chart findings and action. 4. observe the site for redness, swelling, and pain and put on clean gloves. Remove the dressing and catheter; chart findings and action.
The nurse is assessing an older patient with elevated plasma triglyceride levels. What other assessment finding leads the nurse to suspect metabolic syndrome? (Select all that apply.)
a. Blood pressure of 148/90 mm Hg b. A fasting blood glucose of 109 mg/dL c. Reports of frequent urination d. Weight measurement of 50 inches e. HDL level of 52 mg/dL
Which nursing action demonstrates the role of the teacher in a therapeutic milieu?
A. The nurse implements a self-affirmation exercise during a one-to-one client interaction. B. The nurse holds a group meeting to present common side effects of psychiatric medications. C. The nurse introduces the concept of fair play while playing cards with a group of clients. D. The nurse models adaptive and effective coping mechanisms with clients on the psychiatric unit.