For a resident with dementia, behavior is a form of communication. Which of the following behaviors demonstrates a resident's increased confusion or restlessness late in the afternoon, in the evening, or at night?
A. Hoarding and pillaging
B. Sundowning
C. Wandering and pacing
D. Hallucinating
Answer: B
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The nurse is providing care to a client who gave birth to a newborn by cesarean section. When providing care to this client, which nursing actions are appropriate? Select all that apply
A) Encouraging coughing and deep breathing every 2 hours until the client is able to ambulate B) Monitoring the episiotomy site every shift C) Encouraging the client to lay on the right side to promote passing gas D) Assessing bowel sounds every 8 hours E) Assessing the client hourly while receiving a continuous epidural infusion
Termination of the therapeutic nurse-client relationship with a client has been handled successfully
when the nurse a. gives the client his personal telephone number and permission to call after discharge. b. avoids upsetting the client by focusing on other clients beginning 1 week before the client's discharge. c. discusses with the client the changes that have happened during their time together and evaluates outcome attainment. d. offers to meet the client for coffee and conversation three times a week for 2 weeks after discharge.
During the interview process, you should
A) make yourself comfortable. B) ask for a beverage. C) make good eye contact. D) interrupt to ask questions.
Describe at least six guidelines for documenting in the patient's chart.
What will be an ideal response?