Which is an appropriate nursing action when conducting a sensory system assessment?
1) Asking the patient to open both eyes
2) Asking the patient to close the right eye
3) Asking the patient to open the left eye
4) Asking the patient to close both eyes
ANS: 4
You might also like to view...
Calculate the minimum recommended dosage
What will be an ideal response?
The nurse is assessing level of stress in a patient from another culture. Which question is the most appropriate in helping the nurse understand the impact of the patient's belief system?
a. "Do you engage in prayer to help you during times of stress?" b. "Do you go to church or other form of organized worship?" c. "Do you have certain beliefs that are helpful during times of stress?" d. "Do you want spiritual counseling while you are here?"
The nurse contacts the client's case manager to provide information about the client's hospital treatment plan. This is an example of which type of advocacy?
a. Role modeling b. Educational informing c. Collaboration d. Anticipatory guidance
After a house fire, a 4-year-old child begins sucking his thumb and wetting his bed. Which of the following would be the most appropriate action for the nurse to take?
a. Explain to the child that it is important to be strong and not act like a baby. b. Explain to the family that this behavior is a normal reaction to disaster. c. Recommend admission for inpatient psychological counseling. d. Recommend behavior therapy as a means to overcome regression.