A young man brought to the emergency department by a police officer states, "I don't know who or where I am." He has no identification but appears to be in good physical health. Physical examination reveals no evidence of trauma or other abnormal findings. He is admitted to the psychiatric unit for further evaluation and treatment. The nurse anticipates that the client will react to his inability to recall his identity by exhibiting:
A. an intense preoccupation with discovering who he is.
B. depression.
C. anger and frustration.
D. complacency.
Answer: D. complacency.
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A rectal thermometer should be inserted into the rectum of a preschooler
a. 1/4 inch. c. 1 inch. b. 1/2 inch. d. 1 1/2 inches.
After administering pain medication, the nurse returns to check the client's level of comfort. This stage of the nursing process is known as:
A) assessment. B) planning. C) implementation. D) evaluation.
When conducting an assessment interview, which of the following is the best communication technique for the nurse to use?
a. Ask multiple questions at the same time b. Offer limited time for the client to respond to each question that is asked c. Use short, unambiguous listening responses focused on current health issues and client concerns d. Ensure that all questions are answered immediately in order to avoid the need for related follow-up questions to clarify
A nurse is assessing a postoperative client who received morphine sulfate for severe pain 1 hour ago. What common side effects are associated with this medication?
a. Constipation and pruritus b. Diarrhea and lethargy c. Tachycardia and hypertension d. Coughing and wheezing