A home care nurse is completing the follow-up visit of a 92-year-old client. During the visit the client describes feelings that everyone is out to get him
He continues to describe paranoid thoughts and seems to become increasingly angry and frustrated. The nurse's assessment of this behavior indicates the need to
A) call the family to come and calm the client.
B) avoid further discussion of the problem because the client is upset.
C) contact the client's physician to obtain further psychological assessment of the paranoia.
D) no intervention, this is a normal finding in the elderly as a result of hearing loss.
C
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When questioning the client about the use of herbals or alternative therapies, the nurse would do which of the following?
1. Take an accepting and non-judgmental attitude. 2. Teach about the dangers of alternative therapies. 3. Explain that alternative therapies impede the medical regimen. 4. Inform clients that research indicates that herbal medications have little positive effect.
The nurse, writing a care plan for a patient on an aminoglycoside, includes what intervention to reduce the accumulation of the drug in the kidney?
A) Avoid caffeine intake. B) Increase fluids. C) Decrease activity. D) Increase consumption of fruits and vegetables.
In the competent stage, the nurse has gained __________ and __________ skills and approaches client care with a plan that assists in making decisions about the client's condition
Fill in the blank with correct word
Which behaviors are most consistent with the clinical picture of a patient who is becoming increasingly aggressive? Select all that apply
a. Pacing b. Crying c. Withdrawn affect d. Rigid posture with clenched jaw e. Staring with narrowed eyes into the eyes of another