During the Weber test, the nurse determines that the patient hears the sound of a tuning fork equally in each ear. Which action by the nurse is appropriate based on this assessment finding?
1) Repeat the test again using a 200-Hz tuning fork.
2) Tell the patient that this represents a normal finding.
3) Refer the patient for additional testing to determine the exact hearing abnormality.
4) Ask the patient to keep the eyes closed so that the test can be repeated.
ANS: 2
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A client with a diagnosis of bipolar disorder lives with his family and discontinues taking medication when he begins feeling his symptoms are under control
Family members express their concern to the client's therapist whenever they realize the client is "off his meds." The therapist understands that within the client's family, each person's behavior is contingent on and: 1. Reflects the characteristics of the client's family. 2. Affects the behavior of others. 3. Is affected by the functionality of the group. 4. Is reflective of the client's mental illness.
Which identifies a common complaint about contemporary U.S. healthcare providers?
1. In general, healthcare providers are rigid to the Western system of healthcare. 2. There are no variations in treatment for various medical diagnoses. 3. Only Western care treatments should be insurance-reimbursable. 4. Western medical practices and Eastern medicine practices cause fragmented care.
A client is on intravenous heparin to treat a pulmonary embolism. The client's most recent partial thromboplastin time (PTT) was 25 seconds. What order should the nurse anticipate?
a. Decrease the heparin rate. b. Increase the heparin rate. c. No change to the heparin rate. d. Stop heparin; start warfarin (Coumadin).
Assertiveness for nurses is vital in the following areas EXCEPT
A. Building and maintaining respectful relationships with colleagues B. Speaking up for patients C. Forcing treatments on patients D. Speaking up for one's self