A client from an Asian background responds to the nurse's discharge instructions by nodding and smiling. How should the nurse interpret this response?
a. The client understands the information and will be very compliant when dis-charged.
b. The client really does not understand the instructions and has no intention of fol-lowing them at home.
c. It is a way of showing respect for the nurse's authority and avoiding confronta-tion.
d. All friendly and happy Asian clients ex-press themselves this way.
C
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Prior to his cognitive deterioration from an organic brain disease, a client established a durable health care power of attorney. This document allows the person designated in the document to do what?
A) Distribute the client's possessions after his death. B) Make treatment decisions on the client's behalf. C) Override the client's expressed wishes. D) Pursue all available treatment options until death.
A nurse meets with a patient whose mother died recently. The patient is distressed because her brother returned to work immediately after their mother's funeral. Which is the best response by the nurse?
1. "Every person grieves in their own way." 2. "I guess your brother is just not an emotional guy." 3. "Yes, that is a problem. I think you should suggest that he see a therapist." 4. "There is an association between a lack of expression of grief and negative psychological outcomes."
You are a floor nurse caring for a patient with alcohol withdrawal syndrome. What would be an appropriate nursing action to minimize the potential for hallucinations?
A) Place the patient in a room with roommates. B) Turn the lights to low illumination. C) Close closet doors. D) Leave the television on at all times.
The nurse, caring for an elderly postoperative client with rheumatoid arthritis, is concerned about wound healing. Which of the following would be a priority intervention for this client?
a. Make sure the client gets plenty of IV fluids to prevent dehydration. b. Medicate the client for pain around the clock to increase her ability to move. c. Order a dietary consult and monitor the client closely for signs of infection. d. Monitor the client's vital signs closely for signs of hypotension.