The nurse is preparing a care plan for a patient with insomnia. Which of the following would be an appropriate outcome criteria for the goal that the patient will report fewer problems falling asleep
A) The patient will fall asleep faster.
B) The patient will report a decrease in sleep latency to 10 to 15 minutes within 30 days.
C) The nurse will administer the patient's hypnotic at bedtime each night.
D) The nurse will give the patient a backrub at bedtime each night.
Ans: B
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The nurse is developing a teaching plan for a patient with COPD. Which of the following can encourage deep breathing in a patient and help to prevent atelectasis?
A) A peak flow meter B) Deep suctioning C) An incentive spirometry D) Oxygen through nose prongs
A patient comes to the ophthalmology for an eye examination. The patient tells the nurse that he often sees fibers in his vision. What should the nurse respond to the patient?
A) This is a normal aging process of the eye. B) Glasses will minimize this. C) He may be exhibiting signs of glaucoma. D) This may be a result of weakened ciliary muscles.
What is the nurse's best approach when an 8-year-old boy frequently causes a disruption in the playroom by taking toys from other children?
a. Exclude the child from the playroom. b. Explain to the children in the playroom that he is very ill and should be allowed to have the toys. c. Approach the child in his room and ask, "Would you like it if the other children took your toys from you?" d. Approach the child in his room and state, "I am concerned that you are taking the other children's toys. It upsets them and me.".
A nurse assessing a patient is interested in the patient's appraisal of a recent divorce as a stressor. To obtain this information, it is important for the nurse to gather data about which of the patient's responses. (Select all that apply.)
a. Affective b. Behavioral c. Physiological d. Cognitive e. Ethical