During the acute CVA phase, a risk for falls related to paralysis is present. Which intervention best protects the patient from injury?

a. Keep the bed in a high position for ease of nursing care.
b. Keep the side rails up, according to agen-cy policy.
c. Assess vision deficit related to ptosis.
d. Monitor the condition every 2 hours.


B
Rails keep patients in bed. The bed should be low, monitoring the patient should be more fre-quent than every 2 hours, and visual assessment is not directly related to fall prevention.

Nursing

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Which intervention is therapeutic when facilitating communication with a cognitively impaired older client? Select all that apply

a. Explain a task using simple, concise phrasing and one step at a time b. Give instructions to a group whenever possible to provide peer support c. Allow for additional time for the client to respond to questions or directions d. Use non-verbal as well as verbal cues to help get your message across to the client e. Speak loudly to gain and retain the client's attention

Nursing

The nurse researcher will use descriptive statistics for a research project that has been assigned. A characteristic of descriptive statistics is that they provide which of the following?

1. They can answer specific questions. 2. They can generate theories. 3. They allow the investigator to draw conclusions. 4. They are the starting point for the formation of a research question.

Nursing

People who are depressed often have feelings of inappropriate guilt

True False

Nursing

A nurse suspects that a 9-year-old boy is suffering from depression. Which of the following signs or symptoms suggests depression in a child?

A) Repetitive behaviors B) Fear of leaving the house and of being in public C) Somatic complaints and acting-out behavior D) Inability to sit still for extended periods

Nursing