A nurse is interviewing a patient who recently lost her spouse. Which symptoms reported by the patient would warrant a referral to a mental health provider? Select all that apply
1. Prolonged insomnia
2. Crying
3. Severe weight loss
4. Anger
5. Suicidal ideation
Answer: 1, 3, 5
Explanation: Referral to a mental health specialist for evaluation for depression may be warranted when symptoms include prolonged insomnia, severe weight loss, or suicidal ideation. Temporary loss of appetite, crying and anger are normal and expected responses to grief.
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A nurse teaches a client who has very dry skin. Which statement should the nurse include in this client's education?
a. "Use lots of moisturizer several times a day to minimize dryness." b. "Take a cold shower instead of soaking in the bathtub." c. "Use antimicrobial soap to avoid infection of cracked skin." d. "After you bathe, put lotion on before your skin is totally dry."
Which of the following sources of knowledge is based on objective data?
A) authoritative B) traditional C) scientific D) applied
Walking rounds are currently being implemented to avoid errors or omissions in shift reports. Which observations made during walking rounds would be seen as an advantage to the shift re-port? Select all that apply
a. Foley bag is not emptied on a patient on strict I&O. b. Patient needs assistance to bathroom. c. IV infusion bag is nearly dry. d. Patient with a PCA requests instructions to avoid increased pain. e. Patient's family member is caught smoking in the bathroom. f. IV line is not infusing what is currently ordered.
Florence Nightingale had a nursing theory model that is still in practice today. What are the concepts of this nursing theory?
A) Nature alone cures. Nursing assists the person to an improved condition for nature to take its course. B) Mind and body are one. Nursing's role is to assist clients to perform functions they would perform unaided if they had the necessary strength, will, or knowledge. C) Building on Maslow's Hierarchy of Needs, nursing assists clients to meet self-care needs necessary to maintain life, health, and well-being. D) An individual's state of health/illness moves back and forth on a continuum.