A nurse is working with a young male client who says that he is Elvis Presley. Recognizing that this is a delusion of grandiosity, the nurse decides that a goal today will be to promote a sense of self-worth and increased self-esteem
What did the nurse do? A) Reminded the client that his name is not Elvis and remarked on the qualities of his real name.
B) Tell the client how handsome he looked and remarked on his classy sideburns.
C) Complimented the client when he was being considerate of another, older patient on the unit.
D) Asked the client to sing for the others on the unit to demonstrate his Elvis style.
C
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In recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate?
a. Patient denies usual childhood illnesses. b. Patient states he was a "very healthy" child. c. Patient states his sister had measles, but he didn't. d. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.
What measure protects the nurse when preparing cytotoxic drugs?
A) Wearing protective equipment such as gloves, mask, and gown B) Washing hands before preparation C) Mixing medication in a 1-L bag D) Administering medication IM
Which condition or health problem demonstrates inflammation without invasion?
A. Allergic rhinitis B. Viral hepatitis C. Osteoarthritis D. Cellulitis
A child with diabetes reports that he is feeling a little shaky. Further assessment reveals that the child is coherent but with some slight tremors and sweating. A fingerstick blood glucose level is 70 mg/dL. What would the nurse do next
What will be an ideal response?