The nurse prepares to assess a patient with a dissociative disorder. On which areas should the nurse focus this assessment?
1. Pain, bowel sounds, behaviors
2. Anxiety, vitamin B12 level, heart sounds
3. Memory difficulties, patient safety, and level of anxiety
4. Facial expression, body image, pupillary reactivity
3. Memory difficulties, patient safety, and level of anxiety
You might also like to view...
A client who had sexual contact with a partner who is HIV+ recently develops flulike symptoms such as a low grade fever, headache, and muscle pain. What does the nurse suspect this client is experiencing?
A) Pneumocystis pneumonia B) Influenza C) AIDS D) Acute retroviral syndrome
A patient arrived at the emergency department after tripping over a rug and falling at home. Which finding is most important for the nurse to communicate to the health care provider?
a. There is bruising at the shoulder area. b. The patient reports arm and shoulder pain. c. The right arm appears shorter than the left. d. There is decreased shoulder range of motion.
A client who has sustained a myocardial infarction is scheduled to have an echocardiogram. Which measure should the nurse take before the procedure?
A. Imposing nothing-by-mouth (NPO) status for 4 hours B. Asking the client to sign an informed consent form C. Asking the client about a history of allergy to iodine or shellfish D. Telling the client that the procedure is painless and takes 30 to 60 minutes to complete
A nurse reviews the chart of a client seen at the nursing clinic for treatment of tension headache. Which client complaint did the nurse enter into the nursing record?
1. "When the music plays so loud, my head starts to pound." 2. "My whole cheek hurts, and it feels like I have bruising under my eye." 3. "Usually there is just this steady pressure around my entire head." 4. "I can tell it's coming on; sometimes I vomit before it hits."