A client who told everyone on the unit that he is a famous author is at the nursing station arguing with the nurse who has limited the phone calls for today
The client has been repeatedly calling a large bookstore nearby asking to speak to a publisher, and the store's manager has refused to come to the phone. The last phone call resulted in some loud obscenities from the client. The nurse believes that some boundaries need to be set. Is the nurse's action reasonable? A) Yes, because the client's actions are related to his delusion.
B) Yes, because the nurse wants to protect the hospital from a nuisance lawsuit brought by the bookstore.
C) Yes, the nurse is using judgment to prevent the client's agitation from escalating.
D) No, because restricting phone use is a curtailment of the client's civil rights.
C
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Toxic hepatitis has a poor prognosis if there is a prolonged period between the exposure to the toxin and the onset of symptoms. There are no effective antidotes. What is the clinical course of toxic hepatitis?
1. Fever rises. 2. Hematemisis. 3. Clotting abnormalities. 4. Vascular collapse. 5. Coma. A) 12543 B) 12345 C) 23145 D) 31254
A young adult client notes height as "5 feet 11 inches" and weight as "200 lbs." Upon assessment, the client is found to be 5 feet 9 inches tall with a weight of 225 lbs
The nurse identifies the most likely reason for this discrepancy between the client's self-reported height and weight and the objective information indicates: 1. The client does not have a scale at home. 2. The client may have a image of self inconsistent with actual findings. 3. The client did not want to tell the truth. 4. The client is trying to hide a chronic illness.
An example of a type of research that uses qualitative methods is:
a. correlational research. b. quasi-experimental research. c. descriptive research. d. historical research.
A nurse has completed the data analysis of a client's nursing history. Which point should the nurse keep in mind while preparing the nursing diagnosis?
A) Include as much information about the client as possible. B) Establish the cause of the client's illness. C) Include the client's views on the cause of the condition. D) Identify nursing priorities when preparing the diagnosis.