A family member reports that his mother has started hiding valuables around the house, then can't remember where she put them. He asks the nurse to explain what is happening
Which of the following assessment tools might the nurse utilize to screen the mother for signs of cognitive dysfunction? 1. Benton Visual Retention Test
2. Thematic Apperception Test
3. Raven's Progressive Matrices Test
4. Sentence Completion Test
1
Rationale: The Benton Visual Retention Test is an example of a neuropsychological assessment instrument that can yield valuable data on aspects of a person's cognitive functioning. It is sometimes used as a quick screening device to see if the test taker may be manifesting signs of cognitive dysfunction. The Sentence Completion Test asks clients to complete an extensive series of incomplete sentences with the first thoughts that come to mind. The sentences are designed to elicit responses concerning fantasies, fears, daydreams, and aspirations, among other things, and are not used to screen for cognitive dysfunction. The Thematic Apperception Test is used to reveal very important information about the client's emotional and interpersonal tendencies and not as a screening tool for signs of cognitive dysfunction. Raven's Progressive Matrices Test is designed to provide data on intellectual ability in a relatively culturally unbiased manner and is not used to screen for cognitive dysfunction.
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A client is hospitalized with Pneumocystis jiroveci pneumonia. The client reports shortness of breath with activity and extreme fatigue. What intervention is best to promote comfort?
a. Administer sleeping medication. b. Perform most activities for the client. c. Increase the client's oxygen during activity. d. Pace activities, allowing for adequate rest.
What actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.)
1. Administer medications as ordered. 2. Call the patient by title and last name, such as Mr. or Mrs. 3. Arrange for a translator for the patient who doesn't speak English. 4. Offer an opinion of the patient's choice of plan of care. 5. Spend time with the patient who received bad news.
The nursing intervention necessary after the administration of naloxone is to
a. monitor the airway and take vital signs every 15 minutes. b. insert an indwelling urinary catheter. c. insert a nasogastric tube. d. treat hyperpyrexia with cooling measures.
The nurse explaining the pieces of a tracheostomy to a client would note that the portion of the tracheostomy apparatus used to round the end of the tube for insertion is the
a. flange. b. inner cannula. c. obturator. d. pilot tube.