A desired outcome for a client with schizophrenia who has a nursing diagnosis of Disturbed sensory perception: auditory hallucinations related to neurobiological dysfunction would be that the client will
A. ask for validation of reality.
B. describe content of hallucinations.
C. demonstrate a cool, aloof demeanor.
D. identify prodromal symptoms of disorder.
Answer: A. ask for validation of reality.
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A nurse is visiting an 80-year-old female patient in her home. She is receiving 0.15 mg of oral digoxin daily. She also takes hydrochlorothiazide 50 mg twice a day. She complains of blurred vision and nausea
The nurse observes that she is confused and disoriented at times. Which is most likely to be the problem? a. The patient needs to have her hydrochlorothiazide increased. b. The patient may have digitalis toxicity. c. The patient may have developed chronic heart failure. d. The patient may have Alzheimer disease.
The adult female Iranian client develops signs and symptoms of appendicitis during the night. The client is brought to the emergency department by family
Which nursing intervention is the most culturally sensitive for this client? A) Ask the healthcare provider which one should see the client. B) Ask for a female healthcare provider to assess the client. C) Ask for a male healthcare provider to assess the client. D) Explain the assessment procedure and ask the family their preference.
A client with bipolar disorder has had a history of multiple episodes and states, "I'm so frustrated with what's happened because of these episodes." Which of the following would the nurse encourage to help support this client's recovery?
A) Codependence B) Hope C) Self-control D) Independent decision making
The nurse taking the NCLEX examination is answering a question about vaccinations for children. What category of client needs is being addressed?
A) Safe, effective care environment B) Health promotion and maintenance C) Psychosocial integrity D) Basic care and comfort