Which of the following questions is best to ask when assessing the client's judgment?
A) "Can you describe your usual daily activities for me?"
B) "If you found yourself downtown without money or a car, how would you get home?"
C) "On a scale of 1 to 10, how stressed would you rate yourself?"
D) "What problem would you like to work on while you're hospitalized?"
B
Feedback: This question will elicit information about the client's problem-solving and decision-making abilities. Questions A, C, and D do not assess the concept of judgment.
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As part of health promotion initiative, a nurse is conducting a teaching session to a group of older adults at their church. What teaching point should the nurse include in the area of sexual health?
A) "Pap smears are usually no longer required for women over the age of 70.". B) "It's important for men to have either a prostate-specific antigen (PSA) test or to perform a testicular self-exam each year.". C) "Breast self-examination can be done, but it has been shown to have little value in identifying breast disease.". D) "Women should have a gynecological exam done annually and it should include a Pap smear.".
Sensitivity and specificity are important criteria for screening and diagnostic instruments. What is sensitivity?
A) Different method of measuring the same attributes yielding similar results B) Ability to differentiate the construct being measured from other similar concepts C) Instrument's ability to identify a case correctly D) Instrument's ability to identify noncases correctly.
On admission to the inpatient psychiatric unit, a client's facial expression indicates severe panic. The client repeatedly states, "I know the police are going to shoot me. They found out that I'm the child of the devil." What should the nurse say to initiate a therapeutic relationship with the client?
A. "You certainly look stressed. Can you tell me about the upsetting events that have occurred in your life recently?" B. "Hello, my name is ___. I'm a nurse, and I'll care for you when I'm on duty. Should I call you ___, or do you prefer something else?" C. "You're having very frightening thoughts. I'll help you find ways to cope with this scary thinking." D. "Hello, ___. I'm going to be caring for you while I'm on duty. You look very frightened, but I'm sure you'll feel better by tomorrow."
The nurse monitors the client in nephrotic syndrome for evidence of deep-vein thrombosis related to:
a. protein-energy malnutrition (PEM). b. altered protein levels. c. elevated blood lipids. d. hematuria.