A nurse caring for a patient wonders how the patient's functioning has been evaluated in the past. To learn this, the nurse would look in the medical record on the DSM-IV-TR Axis:
a. I.
b. II.
c. IV.
d. V.
D
Axis V reports the clinician's judgment of the individual's overall level of functioning.
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A client under postoperative care after an oral surgery for lip cancer has difficulty in breathing and coughing. Which of the following measures will help ease the client's discomfort?
A) Keep the head of the bed elevated. B) Position the client flat either on the abdomen or side. C) Provide a tracheostomy tray near the bed. D) Turn the client's head to the side.
Which manifestations should the nurse investigate as possibly being caused by peptic ulcer disease in an older client? Select all that apply.
1. Diarrhea 2. Clay-colored stools 3. Abdominal distention 4. Indigestion with bloating 5. Vague and diffuse abdominal pain
The nurse understands that caregivers, as well as clients, have a potential for violent behavior. Which one of the following employees is at increased risk for expressing violent behavior?
A) Quentin, a 24-year-old new grad nurse who is quiet and does not ask questions. B) Tom, a 70-year-old part-time nurse who has been progressively making medication errors over the past year. C) Ming, a 21-year-old unit clerk who has difficulty attending to her job requirements although she just completed a month-long orientation. D) Clarice, a 42-year-old experienced nurse who often calls in sick and has been having performance issues for the past two weeks.
The school nurse is helping parents choose books for their preschoolers. What literacy skills present in the preschooler would the nurse consider when making choices? Select all that apply
A) Preschoolers enjoy books with pictures that tell stories. B) Preschoolers like stories with repeated phrases as they help keep their attention. C) Preschoolers like stories that describe experiences different from their own. D) Preschoolers demonstrate early literacy skills by reciting stories or portions of books. E) Preschoolers may retell the story from the book, pretend to read books, and ask questions about the story. F) Preschoolers do not have enough focus and expanded attention to notice when a page is skipped during reading.