What is the first step of the assessment process?
1. physical assessment
2. data gathering
3. orientation phase
4. planning about what information is required and how to obtain it
ANS: 4
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The nurse is caring for a child with a terminal illness. Physical care for the dying child would include which interventions? Standard Text: Select all that apply
1. Providing oral care to moisten a dry mouth 2. Administering ordered laxatives to counter the effects of opioids 3. Encouraging a favorite food 4. Keeping the child pain-free 5. Taking vital signs and blood pressure every two hours
The nurse is caring for a patient with metastatic bone cancer. The patient asks the nurse why he has had to keep getting larger doses of his pain medication, although they do not seem to affect him. What is the nurse's best response?
A) "Over time you become more tolerant of the drug." B) "You may have become immune to the effects of the drug." C) "You may be developing a mild addiction to the drug." D) "Your body absorbs less of the drug due to the cancer."
The nurse calls a physician to come to the unit to assess a patient. Which of the following is the most effective telephone communication by the nurse?
a. "This is the 4100 unit troublemaker again. You probably ought to come to the unit to see Mr. Samuels. His condition doesn't seem right.". b. "This is Ann Allen on 4100 . I don't quite know what to think about Mr. Samuels. I think his condition is deteriorating, and I'd like to have you see him.". c. "Sorry to bother you. This may not be important, but I'm not completely com-fortable with Mr. Samuel's response to care. His blood pressure has dropped, and his pulse is elevated.". d. "This is Sheila Ryan on 4100 calling re-garding your patient, Mr. Samuels. His BP has dropped from 130/90 at 8 am to 100/70 at 10 am. His pulse has risen from 80 to 100, and he seems restless. He re-ceived his 8 am Cardizem.".
In a study by Chesley and Loring-McNulty (2003), the factor MOST mentioned by survivors of suicide attempts as preventing current suicidal behaviors was:
a. treatment by a health care professional b. anger at having survived c. belief that the suicide attempt was a sin d. the stigma of having attempted suicide