The nurse is performing in assessment on a client. What should be included in this process?

A. Ability to pay for a hospital stay
B. Who brought patient to the hospital
C. Religious and spiritual needs
D. Level of education


C. Religious and spiritual needs

Nursing

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A patient tells the nurse, "I can't go to any unit meetings because everyone can hear my thoughts.". The nurse can correctly assess this symptom as:

a. concrete thinking. b. loose associations. c. thought broadcasting. d. auditory hallucinations.

Nursing

The nurse is caring for a group of patients on the medical-surgical unit. The most important action the nurse can take in preventing falls is:

a. Use two siderails for each patient's bed b. Place a fall risk sign on the front of the patient's door c. Identify those patients who are at risk for falls d. Use wrist restraints for any confused or combative patient

Nursing

The term hypo means too ________ and the term hyper means too ________.

Fill in the blank(s) with the appropriate word(s).

Nursing

The licensed practical/vocational nurse is caring for a client from India. The client is in a large private room and requests that his family and church community join him, providing prayer, food, and fellowship

The nurse wants to provide adequate transcultural care. What should the nurse do? A) Incorporate all aspects of the person's culture in planning and providing care B) Remove any foods or remedies that may conflict with current prescribed treatments C) Avoid anything that conflicts with the nurse's values, beliefs, or customs D) Help the client understand the importance of following all of his doctor's orders

Nursing