The nurse is going to assess a patient with the Glasgow Coma Scale. This scale includes all of the following areas, EXCEPT
a. cognition c. verbal response
b. eye opening d. motor response
A
The Glasgow Coma Scale assesses three areas of behavior: eye opening, verbal response, and motor response. Cognitive level is not assessed with this scale.
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Which older adult is most likely to need preretirement counseling to avoid significant concerns in retirement?
a. African American female who is a certified public accountant b. Mexican American woman who receives cash for cleaning services c. Middle-aged male adult who has a history of type 1 diabetes mellitus d. Older male clerk who works for the department of homeland security
A client with liver failure is diagnosed with cirrhosis. What is the nurse's understanding of the primary dysfunction related to this condition?
A) Fatty deposits lead to thrombi and obstructed blood flow. B) Fatty deposits lead to impaired metabolism and malnutrition. C) Fibrosis leads to constriction and increased vessel pressures. D) Fibrosis leads to impaired absorption of electrolytes and acid-base dysfunction.
A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week history of sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and nonproductive cough. Which is the most likely pathologic process?
A) Infection B) Inflammation C) Allergic D) Vascular
A delusion of grandeur is:
a. A false belief that one is being mistreated, abused, or harassed b. An exaggerated belief about one's impor-tance, wealth, power, or talents c. An intense and sudden feeling of fear, anxiety, terror, or dread d. Seeing, hearing, smelling, or feeling something that is not real