A priority intervention for a patient with major depression is:
a. distracting the patient from self-absorption.
b. carefully and unobtrusively observing the patient around the clock.
c. allowing the patient to spend long periods alone in meditation.
d. offering opportunities for the patient to assume a leadership role in the therapeutic milieu.
ANS: B
Approximately two thirds of people with depression contemplate suicide. Patients with depression who exhibit feelings of worthlessness are at higher risk. Regularly planned observations of the patient with depression may prevent a suicide attempt on the unit.
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The nurse understands that the primary cause of septicemia from IV therapy is:
1. The client with a renal or cardiac condition. 2. Health care–acquired infection. 3. Air in the IV tubing. 4. Infusing medications too quickly.
An older client in a long-term care facility is receiving an annual physical and is ordered laboratory tests that include a complete blood count, serum electrolytes, and thyroid tests. When the client's son questions why these tests are being ordered by s
a. the healthcare provider ordering the tests needs to explain the rationale to the son b. when conducted annually, all of the tests are helpful in promoting maximum health for older adults in the long-term care setting c. the tests are useful, but only if clinically indicated d. the complete blood count and serum electrolytes are useful screening tests, but the usefulness of the thyroid test should be questioned
A client's bed partner reports the client often has irregular snoring and silence followed by a snort. Does this warrant further assessment?
A) No, snoring has varied patterns B) No, this is a description of normal snoring C) Yes, this is an indicator of obstructive apnea D) Yes, the bed partner is unable to sleep at night
What level of learning is being addressed when nursing students are asked to label the various chambers and valves that are found in a normal human heart?
A) Knowledge (Remembering) B) Comprehension (Understanding) C) Application (Applying) D) Analysis (Analyzing)