The staff are discussing competency. Which of the following statements about competency is inaccurate?
A) Competency is a medical determination made by the client's physician.
B) Competency is affected by client compliance with treatment.
C) A competent client means the client can make reasonable judgments and decisions.
D) A guardian is appointed to make decisions on the person's behalf when the client is incompetent.
A
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The nurse engaged in a therapeutic relationship with a client uses nonverbal communication to:
1. Enhance verbal messages. 2. Avoid the use of verbal messages. 3. Detract from verbal messages. 4. Terminate the therapeutic relationship.
A client with a gunshot wound to the chest is suspected as having a tension pneumothorax. What should the nurse expect to assess for this health problem?
1. High blood pressure 2. Audible sucking sounds on inspiration 3. Wheezes in all lung fields 4. Deviated trachea
The nurse should anticipate which of the following complications in the client with a body cast?
A. Infection B. Urinary retention C. Skin excoriation D. Intestinal obstruction
After administering a medication, the nurse notes that the client has itching and a runny nose. What is the nursing priority?
1. Document the findings 2. Assess vital signs 3. Notify the charge nurse 4. Monitor the client closely