A nurse is assessing a client who was diagnosed with emphysema and chronic bronchitis five years ago. During the assessment of this client's integumentary system, what finding would the nurse correlate to the respiratory disease?
a. Dry, flaky skin
b. Clubbing of the fingers
c. Hypertrophy of the nails
d. Hair loss from the scalp
ANS: B
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The nursing student is asked which historical event was most significant in the development of psychiatric nursing as a specialty and psychotherapeutic roles for nurses
Which response by the nursing student indicates understanding of important events related to development of the psychiatric nursing role? 1. Release of the report Nursing for the Future 2. Passage of the Community Mental Health Centers Act 3. Publication of Commonsense Psychiatry 4. Passage of the National Mental Health Act
An 81-year-old female has a long-standing diagnosis of hypocalcemia secondary to kidney disease. She will be moving into an assisted living facility shortly. Which of the following clinical manifestations would the nursing staff at the facility likely obs
A) Loss of appetite and complaints of nausea B) Muscular spasms and complaints of tingling in the hands/feet C) High fluid intake and copious amounts of dilute urine output D) Lethargy and change in level of consciousness
An African-American is admitted to your unit with liver disease. To correctly assess this patient for jaundice, on what body area would the nurse look for yellow discoloration?
A) Elbows B) Lips C) Nail beds D) Sclerae
A novice nurse asks, "What is so wrong about being sympathetic with a patient who has also lost a parent like I did?" The psychiatric nurse manager responds:
a. "There is a fine line between empathy and sympathy that when crossed makes you less able to be therapeutic." b. "Rather than discussing the loss of your parent with the patient, you can talk to me about it whenever you need to." c. "I'll provide you with some excellent materials that I'm sure will help you to un-derstand why sympathy is less therapeutic." d. "Sympathy indicates that you are sharing your personal feelings and that changes the focus of the communication from the patient to you."