A mentally ill person's current global assessment of functioning (GAF) score is 10. Select the nurse's highest priority related to this patient's care
a. Safety
b. Hygiene
c. Nutrition
d. Socialization
ANS: A
This low GAF score indicates a consistent risk for self-harm exists; therefore the nurse's highest priority is safety.
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A nurse is teaching home care instructions to a patient experiencing migraine headache. The patient questions the nurse regarding alcohol consumption
The nurse would be correct in telling the patient that alcohol causes which of the following physiological changes? A) Causes hormone fluctuation B) Vasodilation of the blood vessels C) Excitatory effect on the central nervous system (CNS) D) Diminishes endorphins in the brain
A 4-year-old child with a long leg cast complains of "fire" in his cast. The nurse should
a. Notify the physician on his next rounds. b. Note the complaint in the nurse's notes. c. Notify the physician immediately. d. Report the complaint to the next nurse on duty.
The nurse would expect a patient with which co-morbid diagnosis to have a magnified response to the usual dose of a benzodiazepine drug?
a. Rheumatoid arthritis b. Migraine headache c. Hepatic cirrhosis d. Osteoporosis
A patient with heart failure asks you why the antihypertensive drug enalapril (Vasotec) has been prescribed. What is your best response?
a. "Hypertension is the most common cause of heart failure." b. "Lowering your blood pressure will allow your heart to pump more easily." c. "This drug will decrease the amount of blood your heart has to pump, leading to less work for your heart." d. "Enalapril will cause your heart to reestablish its normal electrical functions so that it works more effectively as a pump."