The history shows that a newly admitted patient has impulsivity. The nurse would expect behavior characterized by:
a. adherence to a strict moral code.
b. manipulative, controlling strategies.
c. postponing gratification to an appropriate time.
d. little time elapsed between thought and action.
ANS: D
The impulsive individual acts in haste without taking time to consider the consequences of the action. None of the other options describes impulsivity.
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A client who is nearing high school graduation is unable to finish out the year, cries at night, has difficulty sleeping, and does not want to attend classes. Which type of crisis does the nurse identify?
1. Trauma from previous crisis 2. Situational crisis 3. Recoil response 4. Maturational crisis
A 2-year-old is seen for a well-child visit and is scheduled to receive immunizations. The child weighed 22 lb (9.97 kg) at 1 year of age (1 year ago). Today the child weighs 23 lb (10.4 kg)
Which conclusion is most appropriate for the nurse to make regarding this assessment data? A. The child is at an expected weight. B. The child is over expected weight. C. The child is seriously overweight. D. The child is underweight for age.
Some people readily become ill when under stress. Others are able to deal with tremendous stress and remain physically and mentally healthy. This disparity is affected by a person's level of hardiness
How can you apply this knowledge to your nursing care? 1) You cannot use this information at all. People are innately hardy or not. This is something that you must merely recognize. 2) You should encourage all people to develop some level of hardiness in order to get through difficult physical and emotional times. 3) You should assess for your own level of hardiness: if you are hardy, you will be a better nurse; if you are not, you can learn more about hardiness. 4) You can assess for hardiness in patients; you can encourage hardy patients to learn about their illness as a means for them to be more comfortable.
A male client who is 80 years old has fallen several times since admission and the nurse feels the falls are the result of a communication impairment with the client
Which should the nurse delegate to the unlicensed assistive personnel (UAP) to facilitate effective communication? (Select all that apply.) 1. Collaborate for a hearing aid and glasses 2. Clarify the meanings of client statements 3. Lower volume of television when speaking 4. Speak clearly while face to face with client 5. Engage client in conversation during bathing 6. Explore alternative communication methods