The nurse determines that a patient is at imminent risk for suicide. Which of the following would be least appropriate to include in the patient's plan of care?
A) Listening intently and nonjudgmentally
B) Validating the patient's feelings and experience
C) Instituting strict restriction on the patient's activity
D) Using cognitive interventions to foster hope
A
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The nurse reports which assessments that suggest a meconium ileus in a newborn? (Select all that apply.)
a. Abdominal distention b. Vomiting c. Hiccoughing d. Jaundice e. Absence of stool
After teaching a group of nursing students about confusion and how it differs from dementia, the instructor determines that the teaching was successful when the students identify which of the following about delirium? Select all that apply
A) The onset occurred suddenly. B) Memory is significantly impaired. C) Sensory impairment occurs. D) Environmental changes are needed for safety.
To assess the client's visual acuity, the nurse should use the:
a. ophthalmoscope. b. otoscope. c. Snellen chart. d. penlight.
A nursing instructor has completed teaching a unit on child abuse and neglect. The instructor then asks the students about the consequences of shaking a baby vigorously. Which response if given indicates that learning has occurred?
a. dislocated hips and arms b. brain and retinal bleeding c. cuts and lacerations d. malnutrition and failure to thrive