The nurse learns from the report that a client with mania has not slept since admission 2 days ago. On entering the day room, the nurse finds this client dancing to loud music. The best response by the nurse would be:
A) "Do you think you could sit still for a few minutes so we can talk?"
B) "How are you ever going to get any rest if you keep that music on?"
C) "Let's go to the conference room and talk for a while."
D) "Turn the radio down so we can hear ourselves talk."
C
Feedback: Redirecting the client to a quieter, smaller room will decrease external stimuli and promote calmness so the client will eventually rest and sleep.
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Many health providers define illness as pathology; however, people experience, rather than define, illness. Which of the following is how most people experience illness?
1) "Feeling lousy," a true sense of not being all right 2) A change in the way they feel or a disruption in their typical life 3) Something to be dreaded and avoided if at all possible 4) An experience that offers the potential for learning and spiritual growth
Prior to preparing a woman for a cesarean section, the nurse is legally responsible for
a. obtaining informed consent from the client b. writing a nursing plan of care c. explaining the procedure to the husband d. assuming the fetus is in distress and beginning emergency measures
When checking the patient's back, the nurse pushes her thumb into the patient's sacrum. An indentation remains. The nurse charts that the patient has
a. sacral compromise. b. delayed skin turgor. c. pitting edema. d. dehydration.
A patient who is morbidly obese states, "I've recently made some changes in my life. I've decreased my fat intake and I've stopped smoking." Which statement, if made by the nurse, is the best initial response?
a. "Although those are important, it is essential that you make other changes, too." b. "Are you having any difficulty in maintaining the changes you have already made?" c. "Which additional changes in your lifestyle would you like to implement at this time?" d. "You have already accomplished changes that are important for the health of your heart."