The nurse is caring for a patient with schizophrenia spectrum disorder (SSD). Which impairment should the nurse identify in the patient as a hard sign? (Select all that apply.)
1. Reflexes
2. Grimacing
3. Asterognosis
4. Increased blink rates
5. Oculomotor abnormalities
1. Reflexes
5. Oculomotor abnormalities
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Which is an example of an intentional tort?
1. A nurse fails to assess a client's obvious symptoms of neuroleptic malignant syndrome. 2. A nurse physically places an irritating client in four-point restraints. 3. A nurse makes a medication error and does not report the incident. 4. A nurse gives patient information to an unauthorized person.
The following are approaches to measuring research variables, except:
A) Self-reports B) Literature reviews C) Observations D) Biophysiologic measurements
A home health nurse encourages the family of a patient with an SCI to use the assisted cough technique. What does this technique require the caregiver to do? (Select all that apply.)
a. Assist the patient to inhale a bronchodila-tor spray and then cough. b. Forcefully press on patient's back below the rib cage while the patient is in the prone position. c. Assist the patient to lean forward, breathe deep, and then cough. d. Apply pressure to diaphragm as the patient coughs. e. Slap the patient on upper back while the patient is in the prone position.
After learning about the need for a cesarean birth, the pregnant patient begins to cry and hyperventilate. Which nursing diagnosis should the nurse use to guide the care that the patient needs at this time?
A) Fear related to impending surgery B) Risk for infection related to a surgical incision C) Powerlessness related to medical need for cesarean birth D) Risk for impaired parent/infant attachment related to unplanned method of birth