Which documentation for a patient diagnosed with major depression indicates the treatment plan was effective?
a. Slept 6 hours uninterrupted. Sang with activity group. Anticipates seeing grandchild.
b. Slept 10 hours uninterrupted. Attended craft group; stated "project was a failure, just like me."
c. Slept 5 hours with brief interruptions. Personal hygiene adequate with assistance. Weight loss of 1 pound.
d. Slept 7 hours uninterrupted. Preoccupied with perceived inadequacies. States, "I feel tired all the time."
ANS: A
Sleeping 6 hours, participating with a group, and anticipating an event are all positive events. All the other options show at least one negative finding.
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The nurse can enhance a 75-year-old patient's ability to learn how to administer medication by:
A) Providing links to websites that contain information related to the medication B) Excluding family members from the session C) Using color-coded materials D) Making the information relevant to the patient's condition
A nurse assesses a client who is recovering from a subtotal thyroidectomy. On the second postoperative day the client states, "I feel numbness and tingling around my mouth." What action should the nurse take?
a. Offer mouth care. b. Loosen the dressing. c. Assess for Chvostek's sign. d. Ask the client orientation questions.
The nurse is planning care for a baby of African-American descent born to a mother who smoked during the pregnancy. Which nursing diagnosis would be appropriate for this baby?
A) Risk for Sudden Infant Death Syndrome (SIDS) B) Readiness for Enhanced Parenting C) Anxiety D) Deficient Knowledge
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A) Arab American B) African American C) Cuban D) Russian