A person was directing traffic on a busy street, rapidly shouting, "To work, you jerk, for perks" and making obscene gestures at cars. The person has not slept or eaten for 3 days

Which assessment findings will have priority concern for this patient's plan of care?

a. Insulting, aggressive behavior
b. Pressured speech and grandiosity
c. Hyperactivity; not eating and sleeping
d. Poor concentration and decision making


ANS: C
Hyperactivity, poor nutrition, hydration, and not sleeping take priority in terms of the needs listed above because they threaten the physical integrity of the patient. The other behaviors are less threatening to the patient's life.

Nursing

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Which of the following individuals or groups influence how institutional goals are determined by the organization?

a. Staff nurses b. Patient care coordinators c. Vice president for nursing d. Board of directors

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A nurse is instructing a patient receiving a cholesterol-lowering agent. Which information should the nurse include in the patient education?

a. "This medication will replace other interventions you have been trying." b. "It is important for you to double your dose if you miss one to maintain therapeutic blood levels." c. "Stop taking the medication if you experience constipation." d. "You should continue your exercise program to increase your HDL serum levels."

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Which of the following learning activities is most likely to promote nursing students' knowledge and abilities in evidence-based practice?

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