The nurse is completing a sleep assessment on a patient. The nurse utilizes which of the following tools to complete the assessment?
a. Visual Analogue Scale
b. OUCHER scale
c. FACES scale
d. Glasgow Coma Scale
ANS: A
The Visual Analogue Scale is utilized for assessing sleep quality. The OUCHER and FACES scales are used to measure pain, and the Glasgow Coma Scale is used to measure level of consciousness.
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The nurse is caring for a client with bipolar disorder who is experiencing a manic episode. To assist the client in reducing the hyperactive behavior, what should the nurse do?
1. Engage the client in a quiet game of cards or puzzle solving. 2. Allow the client to set her own limits on behavior. 3. Provide a calm, quiet area for the client to sit or walk around in. 4. Encourage the client to get involved in a game of volleyball.
You are caring for a client who is scheduled for a sympathectomy. In what disease process would a sympathectomy be performed to relieve vasospasm?
A) Thromboangiitis obliterans B) Restrictive cardiomyopathy C) Rheumatic carditis D) Thrombophlebitis
A woman returns home after delivering a stillborn infant to find that neighbors have dismantled the nursery that she and her husband planned
According to Worden, how should a nurse expect the neighbor's action to affect the woman's grieving task completion? A. This action may hamper the woman from accepting the reality of the loss. B. This action would help the woman forget the sorrow and move on with life. C. This action communicates full support from her neighbors. D. This action would motivate the woman to look to the future and not the past.
A nurse is addressing a group of nursing students. The nurse indicates that it is
important for nurses to help with financial accountability for the facility. Which intervention would be most helpful to achieve the goal of financial accountability? A) Provide safe and effective healthcare to the client in the healthcare facility B) Ensure that the facility meets the governmental standards of care C) Record all the treatments given, examinations administered, and special equipment used D) Verify standards of care through various quality assurance programs