The nurse is reading the medical record of a client who has a diagnosis of moderate anxiety and notes that the health care provider has documented that the client exhibits eustress. Based on this information, which finding would the nurse expect to encounter while assessing the client?
A. The client complains of fatigue.
B. The client complains of feeling drained.
C. The client complains of feeling anxious.
D. The client engages in purposeful movement.
Ans: D. The client engages in purposeful movement.
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During a morning assessment, the nurse notices that an older patient is less attentive and is unable to recall yesterday's events. Which test is appropriate for assessing the patient's mental status?
a. Geriatric Depression Scale, short form b. Rapid Disability Rating Scale-2 c. Mini-Cog d. Get Up and Go Test
The nurse teaches a client about the medications he is receiving. After the instruction, the client tells his wife that he didn't understand a word the nurse said. The instruction was in-effective because the nurse did not
1. assess the client's interest. 2. medicate the client before instruction. 3. teach at the client's level of understanding. 4. consult the PDR before giving instructions.
The nurse teaches the client who has an external skeletal fixation device on a leg fracture for discharge. Which does the nurse include in client teaching?
1. Apply warm, moist heat for muscle spasms. 2. Manage muscle spasms with muscle relaxants. 3. Cleanse the pin sites daily with soap and water. 4. Ambulate to the bathroom for physical activity.
The nurse is assessing a client for taking self-responsibility in wellness. Which action by the client should the nurse consider reflects good decision making?
A. Planning a menu that includes a variety of foods. B. Decreasing the number of cigarettes smoked from 3 packs per day to 1.5 packs per day. C. Walking at a pace of 3 to 4.5 mph for 15 minutes three times per week. D. Practicing sexual abstinence or using a condom during sexual intercourse.