The nurse is assessing the "resilience" of a 16-year-old boy. Which of the following is an example of an external protective factor that may help to promote resiliency in this child?
A) His ability to take control of his own decisions
B) His ability to accept his own limitations
C) His caring relationship with members of his family
D) His knowledge of when to continue or stop with goal achievement
C
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A client voluntarily signed the operative consent form. What is the nurse's next action?
a. Teach the client about the surgery. b. Have family members witness the signa-ture. c. Sign under the client's name as a witness. d. Call for the physician to sign the form.
The best person to use when a patient/client cannot speak English is ______.
a. their next of kin b. another member of staff who speaks their language c. one of their children d. a professional interpreter
A client diagnosed with heart failure reports shortness of breath only when climbing stairs or playing with grandchildren. According to the NYHA classification, the nurse documents which stage of heart failure for this client?
1. Stage B heart failure 2. Severe heart failure 3. Stage 2 heart failure 4. Mild heart failure
The most important time to obtain assessment data on the patient is:
A. any time care is administered by the nurse B. when the patient is first admitted to the hospital C. when the patient’s condition changes significantly D. any time additional objective data is required