A client has been diagnosed with schizophrenia. The client lives alone and has not had a bath or been dressed for more than a week. The client's family wants him or her to live with them. A priority nursing diagnosis for this client is:
A) Altered Role Performance related to symptoms of schizophrenia.
B) Social Isolation related to auditory hallucinations.
C) Altered Family Processes related to psychosis.
D) Bathing/Hygiene Self-Care Deficit related to symptoms of schizophrenia.
D
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To assess healing of the uterus at the placental site, the nurse assesses:
1. Lab values. 2. Blood pressure. 3. Uterine size. 4. Type, amount, and consistency of lochia.
A client is in the ICU recovering from a bilateral adrenalectomy. What should the nurse monitor as a priority for this client?
1. Swelling in the neck 2. Hypotension, rapid pulse, weakness, and confusion 3. Weight gain 4. Depression
Which of the following is most accurate of the role of the community health nurse in promoting the health of contemporary families?
A) It is important for the nurse to determine if each family is functional or dysfunctional. B) Some families are deviant or abnormal and the nurse must recognize this. C) The nurse is in a unique position to assess families in a strength-based model. D) Society recognizes that the traditional nuclear family is the only legitimate type of family.
The patient receives donepezil (Aricept) as treatment for Alzheimer's disease. Which laboratory test(s) will the nurse primarily assess?
1. Serum amylase levels 2. Complete blood count 3. Pulmonary function tests 4. Liver function tests