The nurse has asked a catatonic patient, "Where is your hat?" Which response should cause the nurse to document episodes of echolalia?
a. The patient excitedly says, "Hat, cat, rat, fat, scat, splat!"
b. The patient tearfully says, "I had a hat when my mother drove her yellow car."
c. The patient repeatedly says, "Your hat, your hat, your hat."
d. The patient places his hands on his head and says, "Where is your hat?"
D
Echolalia is the repetition of words spoken to the patient by another person.
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A perinatal nurse has developed a birth plan with a woman who is in her third trimester and has a physical disability. Which action by the nurse would be best for this patient?
A. Arrange for a social work home visit after the woman gives birth and goes home. B. Consult with the OB clinical nurse specialist to plan for the woman's birth. C. Notify the unit manager about the upcoming delivery of a woman with a disability. D. Prepare a written birth plan document and ensure the woman has a copy to take with her.
The nurse is aware that the purpose of debriefing as outlined in the disaster plan for the health professionals who were involved in caring for the victims of a disaster a month ago is to:
a. analyze the effectiveness of the disaster plan. b. assess the efficiency of the service pro-vided by various agencies. c. modify the disaster plan. d. help allay post-traumatic stress disorders.
A nurse is uncomfortable about delegating a task to another health care worker. Which of the following actions should the nurse take, using knowledge of effective delegation?
1. Delegate but continuously observe. 2. Delegate but intermittently observe. 3. Delegate but have a third party observe. 4. Refrain from delegating this particular task.
What is the normally accepted fetal heart rate range?
A) 90 to 140 bpm B) 100 to 150 bpm C) 110 to 160 bpm D) 120 to 170 bpm