Which observations, if documented in the medical record, would indicate that the treatment plan of a
severely depressed client has been effective?
a. "Slept 6 hours uninterrupted, sang with activity group, anticipates seeing
grandchild.".
b. "Slept 10 hours, attended craft group, stated his "project is a mess, just like me.".
c. "Slept 5 hours, personal hygiene adequate with assistance, weight loss of 1
pound.".
d. "Slept 7 hours, states he feels tired all the time, preoccupied with perceived
inadequacies.".
A
Sleeping 6 hours, participating with a group, and anticipating an event are all positive events. All the
other options show at least one negative finding.
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A nurse working with older adults in the community plans programming to improve morale and emotional health in this population. What activity would best meet this goal?
a. Exercise program to improve physical function b. Financial planning seminar series for older adults c. Social events such as dances and group dinners d. Workshop on prevention from becoming an abuse victim
A patient has been diagnosed with pericarditis. Which assessment changes unique to pericarditis would the nurse expect to find?
A) New onset of S3 gallop B) Severe chest pain at rest C) Diffuse ST segment elevation on ECG D) Prolonged, irregular PR intervals on ECG
A community was devastated by a tornado several months ago. What nursing diagnosis would be most appropriate for the nurse to consider?
a. Social isolation b. Deficient community resources c. Ineffective community coping d. Deficient community health
A nurse is caring for a 78-year-old patient with a history of osteoarthritis. When doing the initial assessment the nurse knows that he will most probably find what signs and symptoms?
A) Joint pain, crepitus, Heberden's nodes B) Hot, inflamed joints; crepitus; joint pain C) Tophi, enlarged joints, Bouchard's nodes D) Swelling, joint pain, tenderness on palpation