A nurse is performing a comprehensive assessment of new male client, age 76 years. Which of the following components of the nurse's assessment relate directly to the holistic model? Select all that apply
A) Measuring the client's apical heart rate.
B) Asking the client about his church involvement.
C) Identifying the support systems that the client believes he possesses.
D) Eliciting the client's immunization history.
B, C
Feedback:
Spirituality and perceived support and relationships are central components of the holistic model. Physical assessment components are undeniably necessary but are not indicative of the holistic model.
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A client is being taught to self-administer a narcotic analgesic by means of an intravenous pump system. Which of the following functions is designed to help prevent the patient from unintentionally overdosing?
A) Reducing the dosage of the narcotic analgesic B) Reducing the frequency of administration of the narcotic analgesic C) Programming the dosage and time interval into the device D) Drawing up a schedule chart for the client
The nurse suspects a client with multiple injuries has been physically abused. The nurses would classify this client as being a:
1. Level I. 2. Level II. 3. Level III. 4. Level IV.
The estranged husband of a patient is seen picking up and reading the patient's medical record. The patient later asks the nurse how her husband learned about her health status. Which of the following should the nurse do?
1. Report this violation to the hospital administration. 2. Tell the patient that she has no idea how he learned of her health status. 3. Nothing. 4. Ask the patient how she knows that her husband is aware of her health status.
Determine which example is true of measurability within the context of the nursing diagnosis
a. The patient will list signs of infection such as redness, pain, swelling, and warmth by the end of the shift. b. The patient will be pain-free and then walk to the bathroom. c. The patient reported abdominal pain for 2 days but denies nausea, vomiting, and diarrhea. d. The patient received Dilaudid 1 mg IV and 2 hours later received Lortab 500/5.