A patient diagnosed with schizophrenia is standing naked after showering and appears dazed and indecisive. The nursing intervention that will be most helpful to promote dressing would be:
a. saying, "These are your clothes. Please get dressed.".
b. saying, "These are your underpants. I'll help you put them on.".
c. asking, "Which of these two outfits would you like to wear now?"
d. asking, "Is something the matter with your clothes that makes you not want to dress?"
B
When cognitive functioning is disrupted, a self-care deficit may be severe. The nurse may need to dress the patient. Each step of the process of dressing should be undertaken singly, and a simple explanation as to what is expected should be given.
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A nurse is interviewing an asthmatic client who has a high respiratory rate and is having difficulty breathing. What nursing diagnosis is the priority in this client's care?
A) Impaired gas exchange related to the disease condition B) Impaired verbal communication related to the breathing problem C) Inability to speak due to ineffective airway clearance D) Impaired physical mobility related to shortness of breath
The critical care environment is stressful to the patient. Which interventions assist in reducing this stress? (Select all that apply.)
a. Adjust lighting to promote normal sleep-wake cycles. b. Provide clocks, calendars, and personal photos in the patient's room. c. Talk to the patient about other patients you are caring for on the unit. d. Tell the patient the day and time when you are providing routine nursing interventions.
The volar surface of the forearm is the preferred site for administering a(n) ________ injection.
Fill in the blank(s) with the appropriate word(s).
The nursing assistant's report of pain should always be
A. subjective. B. arbitrary. C. erratic. D. objective.