A highly suspicious patient tells the nurse, "When I sit in the dayroom I can see other people whispering about me and laughing. It makes me want to punch them." The direction that the nurse should give staff is
a. "Gently and frequently touch the patient while conversing."
b. "Stop laughing immediately when the patient enters the room."
c. "Be direct. Do not whisper, laugh, or look sideways at the patient."
d. "Engage the patient in conversation by leaning close to speak softly."
C
Suspicious patients misinterpret the actions of others as being potentially harmful to self. Be direct and open, and avoid behaviors that can be misinterpreted, such as whispering or laughing. In addition, the suspicious patient needs additional personal space. Leaning close is ill-advised. Touching should be avoided because of the high potential for misinterpretation of staff members' motives by the suspicious patient. To stop laughing abruptly when the patient appears would make the individual even more suspicious.
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The nurse educator is teaching a group of nursing students to assess heart sounds. Which response by a student indicates appropriate understanding of how S2 heart sounds are produced?
1. "It results from the closure of the mitral valve." 2. "It is a result from the closure of the semilunar valves." 3. "It results from the closure of the tricuspid valve." 4. "It is caused by atrial contraction and ejection of blood into the ventricles in late diastole."
The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. The behavior consistent with this diagnosis is the patient:
a. talks excitedly about going home. b. suspiciously watches the staff. c. stands on one foot for 15 minutes. d. states he has a cat under his bed that talks to him.
Which population does a Traditional Care Model (TCM) specifically target?
a. Pediatric b. Elderly/geriatric c. Maternal child d. Young adult
The nurse is preparing to discharge a client on an antiretroviral agent. The client's spouse asks the nurse how she can best practice infection-control techniques. What techniques should the nurse discuss with the client's spouse?(Select all that apply.)
1. Take the client's temperature daily. 2. Avoid the affected area. 3. Take your temperature daily. 4. Practice good handwashing. 5. Weekly laboratory blood draws.