The nurse is caring for a patient with a major psychiatric disorder. The nurse notes that the patient's speech is rapid and incoherent at times. What domain is the nurse assessing?
1. Social
2. Spiritual
3. Biological
4. Psychological
Answer: 4
Explanation: Assessment of the patient's speech, including quantity, quality, and organization of speech, is part of the psychological domain. While the other answer choices are assessment domains, they do not focus on the assessment of the patient's speech.
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The nurse assessing a differential sees an increase in immature neutrophils (bands) and is aware that this indicates:
a. a significant hemorrhage. b. aplastic anemia. c. an overwhelming bacterial infection. d. beginning recovery from an infection.
What should the nurse keep in mind when determining the relationship between pain and sleep in an older patient?
A) Nonpharmacologic measures to control pain and enhance sleep are preferable to analgesics. B) Analgesic drugs should be administered to older adults to prevent potential episodes of pain. C) Older adults are more sensitive to pain than younger adults, and more at risk of having pain interfere with sleep. D) The availability of alternative forms of pain control such as massage and diversion means that pharmacologic pain medications are inappropriate and unnecessary.
The nurse knows that the patient with DKA will need
a. subcutaneous insulin. b. IV insulin. c. subcutaneous and IV insulin. d. combination 70%/30% insulin.
Which unit's responsibilities include triage of victims at a disaster site, medical care at the site, and staging locations outside the disaster site for transportation of patients to alternative health care facilities?
a. Emergency System for Advance Registra-tion of Volunteer Health Professionals (ESAR-VHP) b. Medical Reserve Corps (MRC) c. Disaster Medical Assistance Teams (DMAT) d. NIMS National Incident Management System (NIMS)