Which patient behaviors should alert a nurse to a possible hearing deficit? (Select all that apply.)
a. Watches the speaker's mouth
b. Gives inappropriate answers to questions
c. Pulls at the ears
d. Fails to respond when spoken to
e. Turns the good ear to the speaker
A, B, D, E
Pulling at the ear is not a signal for hearing loss; all of the other options are.
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A client who is being physically and sexually abused states, "God doesn't want to bother with me. Am I an evil person? Why do these things always happen to me? What's wrong with God?"
These statements indicate that the client is most likely experiencing: Standard Text: Select all that apply. 1. Spiritual distress 2. Anger 3. Altered thought process 4. Fear 5. Hopelessness
The nurse knows that teaching has been effective when the clients state that upon awakening following electroconvulsive therapy they:
1. Should be assisted to ambulate. 2. May have water immediately. 3. May be confused and disoriented. 4. Should eat breakfast.
A nurse is providing education to a patient about self-administering subcutaneous injections. Which of these patient statements indicates that the patient understands the instructions?
a. "I need to use a needle 1/2 inch longer than my thumb." b. "I will give the medicine deep into my deltoid." c. "My belly is a good place to give my injection." d. "I need to throw the syringe and needle into the garbage when I am done giving myself my shot."
During which stage of the nursing process does the nurse test the completeness and validity of her community nursing diagnosis?
A) Assessment B) Planning C) Implementation D) Evaluation