A home health nurse believes a client may be a drug addict. However, the client denies the use of drugs when questioned by the nurse. Which of the following is the most likely cause of the client's denial?
a. Confusion resulting from dementia
b. History of compulsive lying
c. Mental status changes
d. Use of addictive drugs
ANS: D
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Which questions should the nurse consider before delegating care to another team member? (Select all that apply.)
a. Is this the right task? b. Is this the right time? c. Is this the right person? d. Is this the right supervision? e. Is this the right circumstance?
A patient with severe schizophrenia is seen at a community mental health center. He tells the nurse, "I am here to save the world. I threw away the pills because they make God go away."
The nurse identifies the patient's reason for medication nonadherence as: a. poor alliance with clinicians. b. inadequate discharge planning. c. dislike of drug side effects. d. poor insight into his illness.
While teaching a health promotion class to a group of parents of children in a Head Start class,the nurse informs the parents that the most common preventable chronic infectious disease in U.S.children is
1. hepatitis A. 2. dental decay. 3. human immunodeficiency virus. 4. herpes.
Which statement by the nurse is most appropriate prior to giving an intramuscular injection to a 2-1/2-year-old child?
1. "We will give you your shot when your mommy comes back." 2. "This is medicine that will make you better. First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here, then I will hold the needle like this and say ‘one, two, three . . . go' and give you your shot. Are you ready?" 3. "It is all right to cry, I know that this hurts. After we are done you can go to the box and pick out your favorite sticker." 4. "This is a magic sword that will give you your medicine and make you all better."