Your patient reports feeling that bugs are crawling on his skin. Which type of hallucination is this most likely an example of?
A.
Visual
B.
Tactile
C.
Paranoid
D.
Histrionic
ANS: B
Tactile hallucinations involve bizarre or unusual perceptions of something touching the skin. Responses C and D are not types of hallucinations. Visual hallucinations are false visual perceptions.
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The nurse is caring for a patient who is very dehydrated. Which goal best indicates that the nursing diagnosis of Deficient fluid volume has been corrected and that the patient's fluid balance has been restored?
a. The patient had 1300 mL of light yellow urine in the last 24 hours. b. The patient's lung sounds are clear bilaterally. c. The patient has no jugular venous distention. d. The patient verbalizes need for adequate daily fluid intake.
The discord among physicians regarding nursing care laid the groundwork for the establishment of these nursing protocols:
a. Health care providers' orders became a standard part of the medical record in the late 1800s. b. Standing orders for nurses providing home care were developed by the Chicago Visiting Nurse Association in 1912. c. The first schools for practical nursing were founded in the 1890s. d. Third-party payers set standards for which services they would pay for and who could perform those services.
A pregnant woman has told you she is fearful of delivering in a hospital because of the possibility of infection. You would analyze her comment in relationship to which true statement below?
A) Delivery at home avoids the possibility of infection for the mother or infant. B) Hospital births are conducted with more safeguards for sterility than home births tend to use. C) Hospitals today have eradicated nosocomial infections in nurseries. D) Since the turn of the century, hospitals have no longer worried about infection.
An interprofessional discharge planning team has received negative feedback from several patients regarding lack of clarity in post-discharge instructions. Which leader statement is most constructive for this team at this point?
1. "All members of this team need to review their own materials for accuracy, conciseness, and thoroughness." 2. "Perhaps some new members should be added to this group to give us some fresh ideas." 3. "I hate to say this, but you all know that we are going to have to put in some long hours figuring out how to get this job done correctly." 4. "We can handle this feedback using our talents and the way we come together to tackle challenges."