When entering a client's room, a nurse observes the client laughing. The nurse asks what is making the client so happy. The client states angrily, "I'm not happy, you fool! I'm very upset," and then begins to cry
The nurse would note this behavior when evaluating the client's: a. emotional status c. mental status
b. intellectual function d. orientation
A
Assessment of cerebral function includes the client's level of consciousness (responsiveness and orientation), mental status (e.g., mood, behavior, facial expressions), intellectual function (e.g., concentration and recall), emotional status (affect), pupillary reaction (size and equality), and oral and written communication.
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Which of the following goals is appropriate for the nurse caring for an L1-L2 paraplegic undergoing rehabilitation?
A) Establishing an intermittent catheterization routine every 4 hours B) Managing spasticity with range-of-motion exercises and medications C) Establishing an ambulation program using short leg braces D) Preventing autonomic dysreflexia by preventing bowel impactions
A nurse educates a patient about how to avoid developing osteoporosis. The nurse recognizes that additional teaching is needed when the patient states:
1. "I will consume dairy products." 2. "I will remain in bed when I have a cold." 3. "I will exercise several times a week." 4. "I will take a daily calcium supplement."
When a tpatient states, "I only want an American doctor," the patient is expressing cultural
A) Ethnocentrism B) Relativity C) Pervasiveness D) Superiority
Which treatment should a nurse identify as most appropriate for clients diagnosed with generalized anxiety disorder (GAD)?
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