A patient is admitted to the psychiatric hospital for assessment and evaluation. Which assessment finding best indicates that the patient has a mental illness? The patient:
a. describes coping and relaxation strategies used when feeling anxious.
b. describes mood as consistently sad, discouraged, and hopeless.
c. can perform tasks attempted within the limits of own abilities.
d. reports occasional problems with insomnia.
ANS: B
A patient who reports having a consistently negative mood is describing a mood alteration. The incorrect options describe mentally healthy behaviors and common problems that do not indicate mental illness.
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After general anesthesia is administered, the patient is carefully placed in the prone position. What is the primary consideration of the nursing staff as the patient is positioned?
a. Making sure that the patient's endotracheal tube does not become kinked b. Ensuring that the patient's head is positioned to prevent cervical nerve injury c. Carefully taping the patient's eyes shut to avoid corneal abrasions d. Padding the operating table carefully and keeping linens free of wrinkles
The nurse receives an order to administer glycopyrrolate 0.002 mg/kg to the pediatric patient preoperatively. The patient weighs 14 lbs. If 1 pound = 2.2 kg, how many kilograms would the nurse administer to this patient?
A) 0.013 mg B) 0.13 mg C) 0.028 mg D) 0.28 mg
The nurse discusses hand hygiene with the staff specifically regarding Clostridium difficile. Which of the following should the nurse include in teaching plan?
A) Avoid the use of bleach and bleach cleaners in C. difficile isolation rooms, as the bleach does not kill the spores. B) Hand washing is required with running water and soap to remove the spores from the caregivers' hands. C) The spores are transmitted only from direct contact, so wear gloves when touching the patient. D) Use of alcohol-based hand cleansers is appropriate for use before and after each patient contact.
As a senior manager, you notice that there have been several resignations on a unit where a new charge nurse has been hired
You suspect that the new charge nurse may be demonstrating bul-lying behaviors, but staff say little about their relationship with the charge nurse. Your decisions about intervention would be based on which assumptions? a. The staff nurses would tell you if the charge nurse was engaging in relational violence. b. It would be unusual for leaders to engage in violence and bullying behavior. c. Bullying is primarily related to feelings of marginalization and jealousy among peers. d. Initiating confidential exit interviews will assist in determining if leader violence or bullying is occurring.