The nurse is taking the history of a client with psychiatric issues who is of Puerto Rican descent. Which assessment question would evaluate for the presence of the belief that fate is predetermined?
A) Who accompanied you to the hospital?
B) How do you manage your health?
C) Are you experiencing problems getting to the doctor?
D) When was your last hospitalization?
B
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A nurse is part of the policy committee for a hospital
The committee is provided with statistics indicating that patients participating in a satisfaction survey felt they lacked sufficient information about new drugs started while hospitalized and continued after discharge. In addition, charts noted high recidivism rates. The committee recommended that a formalized patient education plan be instituted to reconcile all medications and provide patient information about new medications. The committee is using which component of the Institute of Medicine (IOM) 2011 message? a. Nurses should achieve higher levels of education to be effective members of an interdisciplinary team. b. Nurses should have a minimum of a master's degree to sit on policy committees that affect an entire facility. c. Pay for nurses should be consistent with that of physicians since the committee is interdisciplinary. d. Policy is based on data, which provides the groundwork for decision making.
The nurse is about to take vital signs on a newborn patient in the nursery. She should:
a. assess respiratory rate after taking a rectal temperature. b. observe the child's chest while the child is sleeping. c. call the physician if the rate is over 40. d. expect that the child will have short periods of apnea.
The parents of a 3-year-old who is hospitalized with mumps and is in isolation ask if their child may be allowed out of bed. The nurse's most helpful response would be:
a. "No. A child with an infectious disease needs to stay in bed.". b. "Yes. Your child may go anywhere in the unit.". c. "No. Your child will spread the mumps if allowed out of bed.". d. "Yes. Your child can walk around here in the room, but not out in the hall.".
A client with mania is exhibiting signs of a manic episode manifested by an elevated mood. Which of the following would the nurse expect to assess?
A) Feelings of being on top of the world B) Lack of restraint with feelings C) Overvalued sense of self-importance D) Indiscriminate enthusiasm for interactions