The priority nursing diagnosis of a 45-year-old client with auditory hallucinations would be:
A) Risk for violence, self-directed or directed toward others.
B) Impaired thought processes.
C) Impaired verbal communication.
D) Individual ineffective coping.
A,
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To examine the patency of each nostril, the nurse should
a. Examine the nasal mucosa to ensure that it is pink and moist b. Check the older person's sense of smell c. Check for the presence of any nasal discharge d. Ask the older person to inhale and exhale through each nostril while occluding the other nostril
5. The nursing diagnosis for a client is immobility related to a stroke. Which classification system can be readily used with this diagnosis?
a. Omaha system of client problems b. Clinical pathways c. Nursing intervention classification d. International classification of disease (ICD)
A nurse manager in a women's clinic is meeting with the staff to discuss the assessment of substance abuse among pregnant clients
Which of the following substances, if used by the client, would concern the nurse as a frequent cause of birth defects? 1. Alcohol 2. Caffeine 3. Tobacco 4. Cocaine
Which is a principle of growth and development?
a. The process starts at birth and continues until death. b. The process proceeds from the simple to the complex. c. The process occurs in a random order, without any particular pattern. d. The rate of the process is even and at a set pace.