The nurse is doing an initial assessment on a patient recently admitted to the unit with a diagnosis of cerebrovascular accident (CVA). The patient has difficulty copying a figure that the nurse has drawn
The nurse uses this technique to assess for what type of aphasia?
A) Auditory-receptive
B) Visual-receptive
C) Expressive speaking
D) Expressive writing
B
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What nursing assessment should be reported immediately after an amniotomy?
a. Fetal heart rate is regular at 154 beats/min. b. Amniotic fluid is clear with flecks of vernix. c. Amniotic fluid is watery and pale green. d. Maternal temperature is 37.8 ° C.
A nurse has been transferred to another unit in the hospital to perform the same type of duties. What type of transfer is this called?
A) Accommodating B) Lateral C) Diagonal D) Downward
Basing the assessment on knowledge of cultural customs and beliefs, the nurse would identify the client who would have the greatest conflict with heart transplantation as being from the faith of
a. Black Muslim. b. Buddhism. c. Friends (Quakers). d. Russian Orthodox.
A female who was a victim of rape 6 months ago comes to an outpatient clinic for the treatment of posttraumatic stress disorder. Which data collected during the patient's assessment indicates a manifestation associated with this disorder?
1. The patient described severe nightmares related to the event. 2. The patient denied anger or shock. 3. The patient denied the need for drug or alcohol counseling. 4. The patient stated that her family is very supportive.