A patient is very anxious and can only follow simple directions with great difficulty. The patient tells a nurse about a fear of keeping clean in such a public place and is observed repeatedly dusting the furniture

The nurse should assess the patient's level of anxiety as: a. mild.
b. moderate.
c. severe.
d. panic.


C
Severe anxiety is characterized by a reduced perceptual field as evidenced by inability to follow directions. All behavior is aimed at relieving anxiety as evidenced by the rituals the patient performs.

Nursing

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Your client is elderly and independent, but states that living alone is not for her anymore. She is lonely, and afraid of being alone and falling or having a health crisis. Which kind of housing is most appropriate for this client?

1. adult day care 2. assisted living 3. skilled nursing 4. home care

Nursing

A nurse is performing a general survey of a patient admitted to the hospital. Which of the following actions is an element of this procedure?

A) taking vital signs B) palpating the integument C) identifying risk factors for altered health D) assessing the head and neck

Nursing

Biological tests are NOT frequently used in clinical practice to screen for persons at risk for alcohol abuse because:

a. of cost and lack of provider awareness b. the tests show late-phase alcohol use only c. the tests have a high rate of false-positive d. biological screening tests do not exist

Nursing

The exasperated mother of a man who has a delusional disorder expends great time and energy trying to convince him that he is not actually the focus of a nationwide, secret plot to track his activities

Which of the man's following responses is most typical of an individual with a delusional disorder? A) "I'll consider what you think, Mom, but this is something I really, really need." B) "I've told you before that I can't just snap my fingers and change the way I think." C) "You're so naïve, Mom. You just don't understand what's really happening out there." D) "I know I've got delusions, Mom, but you would too if you had to live my life."

Nursing