To assess for the presence of hallucinations during the mental status examination, a nurse should ask:
a. "Can you tell me what the name of this building is?"
b. "Do you ever see or hear things that others don't see or hear?"
c. "When did you start believing aliens were controlling your thoughts?"
d. "What do I mean when I say, ‘Don't count your chickens before they hatch?'"
B
Hallucinations are false sensory perceptions while delusions are non-reality–based beliefs. The remaining options are related to thought or cognitive disorders.
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When reviewing the demographics of ethnic groups in the United States, the nurse recalls that the largest and fastest growing population is:
a. Hispanic. b. Black. c. Asian. d. American Indian.
An ICU manager is investigating a complaint by a night shift staff nurse who states a client?s family member was violent toward her
The manager learns from the nurse a male visitor challenged the nurse such that she was confined against a wall and encountered verbal accusations. The manager informs the HR (human resources) director of an act of: 1. Disgruntled family members. 2. Violence. 3. Battery. 4. Physical attacks against an employee.
Which woman would be most likely to seek prenatal care?
a. A 15-year-old who tells her friends, "I don't believe I'm pregnant." b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home with the help of her mother and sister
A history and assessment of a patient with normal pressure hydrocephalus will most likely reveal:
A) no change in mental status. B) acute dementia. C) bowel incontinence. D) an older adult.