When asked what a mental status examination is intended to reveal about the patient, the nurse Answer:
a. "It gives us a more complete family history.".
b. "It reflects the patient's current state of function.".
c. "It reveals a lot about the patient's past experiences.".
d. "It helps us determine the patient's future prognosis.".
B
The mental status examination is designed to give a picture of the patient's current level of functioning. The information provided may be a factor in prognosis, but that is not the primary function of the examination. Family history and general patient information are derived from other sources and the general nursing interview.
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a. 1/4 b. 2/3 c. 1 1/3 d. 5
After a health history of the gastrointestinal and urinary systems, the nurse determines that a patient is of average risk for colorectal cancer. What should the nurse instruct the patient regarding this risk? (Select all that apply.)
A) Have a fecal occult blood test done annually. B) Schedule a flexible sigmoidoscopy every 5 years. C) Follow an every 10-year colonoscopy schedule. D) Plan time for a colonoscopy every 3 years. E) Determine when to have a barium enema every 2 years.
The client delivered her second child yesterday, and is preparing to be discharged. She expresses concern to the nurse because she developed an upper urinary tract infection (UTI) after the birth of her first child
Which statement indicates that the client needs additional teaching about this issue? A. "If I start to have burning with urination, I need to call the doctor." B. "Drinking eight glasses of water each day will help prevent another UTI." C. "I will remember to wipe from front to back after I move my bowels." D. "Voiding two or three times per day will help prevent a recurrence."
You are preparing to give a saline enema. To remove air from the enema tube, you need to:
a. Close the clamp b. Lubricate the tip c. Let solution flow through the tube d. Keep the enema bag level with the anus