Which of the following is the highest priority when providing care to a client experiencing spiritual distress?
a. notifying the physician that the client needs sleeping medication
b. a decrease in appetite
c. a verbalization of suicidal thoughts
d. a verbalization in loss of faith in God
C
All of the choices need to be addressed, but the highest priority is placed on the verbalization of suicidal thoughts; this requires immediate intervention to prevent harm or injury to client.
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A patient who underwent surgery for a bowel obstruction yesterday has become confused and has made several attempts to climb out of bed. The nurse is considering options to prevent the patient from harm
Which of the following actions could be delegated to assistive nursing personnel working with the nurse? a. Assessing the patient for appropriateness of restraints b. Calling the physician for an order for a restraint alternative c. Discussing the need for restraints with the patient's family d. Applying restraints after orders received by the nurse
After hearing horror stories about the signs, symptoms, and course of lymphogranuloma venereum (LGV), a high school student has asked a visiting sexual health educator about the odds of acquiring the disease among sexually active Americans
Which of the following facts will most accurately underlie the educator's response? A) LGV has been eradicated in the United States but still has significant prevalence and incidence in Southeast Asia and Central America. B) This disease is not common in the United States, but existing cases disproportionately affect women. C) Men who have sex with men are at particular risk of LGV. D) The virus that causes LGV is rare outside the tropics.
A patient diagnosed with AD is being treated with a ChE inhibitor drug. The patient develops facial flushing, sweating, and leg cramps. The nurse should attribute these symptoms to
a. irreversible acetylcholinesterase stimulation. b. inhibition of butyrylcholinesterase(BChE). c. neurodegeneration in the hippocampus. d. cytochrome P-450 system activation.
Which behavior would a nurse focus upon when using a token economy as a method of positive reinforcement?
a. Altering cognitive perceptions b. Reinforcing cognitive congruence c. Performing assigned tasks in a cooperative manner d. Pairing desired behaviors with undesired behaviors