The nurse is caring for an anxious patient who is having difficulty communicating. The patient can make no decisions and sits seemingly unable to take any action. The nurse determines that this patient is at which level of anxiety?
a. mild c. severe
b. moderate d. panic
D
In mild anxiety, there is increased alertness. In moderate anxiety, there is decreased perception and attention. In severe anxiety, there is increased subjective distress and distorted perception. In panic, there is major perceptual distortion with immobilization or the inability to function, and impaired communication.
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A female patient with a diagnosis of AIDS has experienced a recent acceleration in the progression of her disease, and the nurse has documented the patient's memory lapses and increasingly slow, uncoordinated movements
The nurse is justified in suspecting that this patient may be exhibiting the signs and symptoms of what complication of AIDS? A) Pneumocystis pneumonia (PCP) B) Kaposi's sarcoma C) B-cell lymphoma D) HIV encephalopathy
The nurse performed a cover-uncover test on a client to test for atropia. When the left eye was covered, the right eye moved inward. The finding indicated that the client had:
1. Exotropia. 2. Esotropia. 3. No strabismus. 4. Vertical phoria.
Which of the following outcome goals would be best for an adolescent male who has a nursing diagnosis of "Imbalanced nutrition: Less than body requirements related to poor caloric intake and increased metabolic demands as evidenced by poor weight
gain and weight loss"? a. The child will ingest the appropriate number of calories for his age (50 calories per kilogram per 24 hours). b. The child will take in three meals per day. c. There will be an improvement in appetite during the next 3 days. d. The dietary department will consult with the child and his family to ascertain likes and dislikes and will serve more likes.
A mother of two school-age children tells the nurse that her husband has recently been deployed overseas. The mother is concerned about the children's constant interest in watching TV news coverage of military activities overseas
Which suggestion from the nurse is the most appropriate? 1. "Allow the children to watch as much television as they want. This is how they are coping with their father's absence." 2. "It will just take some time to adjust to their father's absence, then everything will return to normal." 3. "The less that you discuss this, the quicker the children will adjust to their father's absence. Try to keep them busy, and use distractions to keep their mind off of it." 4. "Spend time with your children and take cues from them about how much they want to discuss."