A sensory perception that occurs in the absence of external stimuli and is not based in reality is called a(n):
a. illusion c. dream
b. hallucination d. consciousness
B
Perceptions are considered in the context of the individual's awareness of reality. Misperceptions of reality can occur in the form of a hallucination (a sensory perception that occurs in the absence of external stimuli and is not based on reality) or an illusion (an inaccurate perception or misinterpretation of sensory stimuli).
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Interpersonal communication is defined as:
a. the conscious intent by one individual to modify the thoughts or behaviors of oth-ers. b. a combination of written and spoken communication. c. a theory used to describe a manner of communicating. d. communication between two or more in-dividuals involving face-to-face interac-tion.
The labor nurse is providing care to a multigravida with moderate to strong contractions every 2 to 3 minutes, duration 45 to 60 seconds. On admission, her cervical assessment was 5 cm, 80%, and -2. An epidural was administered shortly thereafter
Two hours after admission, her contraction pattern remains the same and her cervical assessment is 5 cm, 90%, and -2. What is the nurse's next action? a. Palpate the patient's bladder for fullness. b. Contact the health care provider for a prescription to augment the labor. c. Obtain an order for an internal pressure catheter. d. Reassure the patient that she is making adequate progress.
The nurse recognizes that a client experiencing anxiety related to a traumatic injury and the re-sulting pain is likely to experience the fight or flight response, which would cause which of the following assessment findings? (Select all that apply.)
1. Rectal temperature of 102.2° F 2. Pulse Ox of 97% on room air 3. Respirations of 30 breaths per minute 4. Heart rate greater than 100 beats per minute 5. Fasting glucose level of 118 mg/dL 6. Systolic blood pressure 26 mm Hg above baseline
The nurse is caring for a patient with expressive aphasia from a traumatic brain injury. Which goal will the nurse include in the plan of care?
a. Patient will carry a pen and a pad of paper around for communication. b. Patient will recover full use of speech vocabulary in 1 day. c. Patient will thicken drinks to prevent aspiration. d. Patient will communicate nonverbally.