A client's roommate has observed the client behaving in uncharacteristic ways, but the client cannot
remember the episodes. During the assessment, which question should the nurse omit as irrelevant?
a. "Are you sexually promiscuous?"
b. "Are your memories of childhood clear and complete, or do you have many blank
spots?"
c. "Have you ever found new things in your belongings that you cannot remember
buying?"
d. "Have you ever found yourself someplace and did not know how you got there?"
ANS: A
This question would probably produce defensiveness on the part of the client. If a subpersonality
acts out sexually, the main personality is probably not aware of the behavior. All other questions
would be pertinent.
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What period is this?
The nurse is suctioning a client who is unable to expectorate respiratory secretions. At which point does the nurse expect the client to experience coughing?
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