The psychiatric home health nurse is evaluating whether a client's level of functioning has improved since starting the prescribed psychotropic medication. What evidence does the nurse look for?
1. There is no change in the GAF score.
2. There is a significant decrease (by 10 or more points) in the client's GAF score.
3. The client no longer qualifies for a GAF score.
4. There is an increase in the client's GAF score.
4
Rationale: The range of the Global Assessment of Functioning (GAF) score is 0–100 with 0 indicating there is inadequate information and 100 indicating the client has superior functioning in a wide range of activities, life's problems never seem to get out of hand, the client is sought out by others because of his or her many positive qualities, and the client is having no symptoms. When evaluating the GAF score, generally an increase over the score at admission indicates there is some improvement in the client's level of functioning.
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A) The development of arthritic syndrome B) The development of metabolic syndrome C) The development of Reye's syndrome D) The development of Tay-Sachs disease
The nurse accepts the newborn in the delivery room and performs an Apgar assessment at one minute of life. The infant is crying vigorously, has a heart rate of 160, is actively moving all extremities, and has blue hands and feet
The nurse scores the infant as an Apgar of: 1. 6. 2. 7. 3. 8. 4. 9.
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At which auscultatory site would S1 best be heard?
A) Aortic B) Pulmonic C) Erb's point D) Mitral