A client on the psychiatric unit tells the nurse that someone has put poison in the food and she wants the nurse to warn everyone not to eat today
When the lunch trays arrive, the client becomes very agitated and starts walking around trying to knock the food out of other clients' hands. The client is taken to her room where she accuses the nurse and staff of being involved in a plot to kill her. She does accept an IM injection that calms her and she goes to sleep. Which nursing diagnosis did the nurse document? A) Alterations in thought (delusions) related to concern for others and powerlessness
B) Alterations in nutrition (impaired) related to belief that the food is poisoned (persecution)
C) Potential for harm (self and others) related to fear of being poisoned; (persecution)
D) Altered perceptions related to misinterpretation of the environment, cognitive impairment
C
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Which characteristics promoted the success of associate degree nursing programs? Select all that apply
A. They attracted a wide range of nontraditional students. B. They increased the shift of nursing education from the hospital to institutions of higher learning. C. They Increased the number of men entering the nursing profession. D. They eliminated licensed practical nursing/licensed vocational nursing programs. E. They allowed nursing homes to increase registered nurse staffing.
The nurse is preparing to send a patient to the OR for a scheduled surgery. What should the nurse ensure is on the chart when it accompanies the patient to surgery? Select all that apply
A) Laboratory reports B) Nurses' notes C) Verification form D) Social work assessment E) Dietician's assessment
Which of the following situations will cause difficulties when a nurse tries to persuade a community to accept a particular intervention?
a. The solution is oriented to the future, not the present. b. Powerful groups in the community may not be committed to this intervention. c. The intervention is inconsistent with cultural, ethnic, or religious beliefs. d. The intervention may need more tax dollars than have currently been funded.
What findings would be expected if a school nurse collected data related to the health issues experienced by students? (Select all that apply.)
a. Almost half of all high school students have had sexual relations. b. Asthma is a common cause of absenteeism. c. Dental caries is the most common chronic health problem of children. d. Children may be psychologically affected by skin disorders that affect their physical appearance. e. Scabies and pediculosis necessitate that the student stay home. f. Tinea capitis and impetigo are major contributors to absenteeism.