In developing a plan of care for a client with extreme panic, the nurse knows that:
1. Anxiety may be communicated through behavioral responses.
2. Behaviors are mobilized.
3. Social skills are intact.
4. Anxiety may be communicated through verbalizations.
1
Rationale: Anxiety may be communicated through behavioral responses and not through verbalizations. The high level of anxiety does not allow behaviors to be mobilized or social skills to remain intact.
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The nurse assesses the following changes in a client's vital signs. Which client situation should be reported to the primary care provider?
a. Decreased blood pressure (BP) after standing up b. Decreased temperature after a period of diaphoresis c. Increased heart rate after walking down the hall d. Increased respiratory rate when the heart rate increases
Which is the most likely reason that Type 2 diabetes mellitus is often difficult to di-agnose in older adults?
a. Presenting symptoms occur very quickly. b. The disease rarely occurs in older adults. c. The classic symptoms may not be present in older adults. d. There are no recognizable symptoms; it is a "silent killer."
When reviewing a patient's medical record, the
nurse notes an order for carbamide peroxide eardrops. Based on this information, the nurse interprets that these eardrops are being used for which purpose? a. To reduce inflammation b. To reduce production of cerumen c. To loosen the cerumen for easier removal d. To inhibit growth of microorganisms in the external canal
A patient with mental illness asks a psychiatric technician, "What's the matter with me?" The technician replies, "Your wing nuts need tightening." The patient looks bewildered and wanders off
The nurse who overheard the exchange should take action based on: a. violation of the patient's right to be treated with dignity and respect. b. the nurse's obligation to report caregiver negligence. c. preventing defamation of the patient's character. d. supervisory liability.