The nurse asked the family about its financial resources and the demands on these resources. This is an example of _____ risks
a. Biological
b. Economic
c. Lifestyle
d. Social
ANS: B
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Which indicates the priority nursing diagnosis for handling a change made difficult by laggards or rejecters?
1. Knowledge Deficit related to lack of willingness to discuss planned change 2. Noncompliance related to lack of willingness to comply with new policy 3. Social Isolation related to antagonistic behavior when change discussed 4. Risk for Role Performance Alteration related to antagonistic behavior
What is the priority intervention for a patient with delirium who has fluctuating levels of consciousness, disturbed orientation, and perceptual alterations?
a. Avoidance of physical contact b. High level of sensory stimulation c. Careful observation and supervision d. Application of wrist and ankle restraints
The parents of a newly admitted patient on the pediatric unit are angry and upset about their child's diagnosis. The child has been diagnosed with a serious chronic illness
One parent is weeping, asking, "Are they sure?" The other is pounding his fist into his hand, saying over and over, "It's not fair. I love him too much. It's not fair." Which of the following would be an appropriate response for the nurse in this situation? A) Stay in the room but say nothing. B) Leave them alone for a while until they calm down. C) Tell them that most children do fine for years with the illness and explain that they will adjust to the child's special needs. D) Acknowledge their sadness and their anger and let them know that the staff is available for their support.
A 43-year-old patient is scheduled to have a gastrectomy. Which one of the following is a major preoperative concern?
a. The patient's brother had a tonsillectomy at 11 years of age. b. The patient smokes a pack of cigarettes a day. c. An intravenous (IV) infusion is present. d. The patient has a history of employment as a computer programmer.