The nurse realizes that an individual client's value system is most affected by:
1. Life experiences
2. Economic status
3. Spiritual beliefs
4. Formal education
ANS: 1
Development of values begins in childhood, shaped by experiences within the family unit, espe-cially dramatic events during the formative years. The other options may influence the value sys-tem, but not to the same extent.
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A 38-year-old female who speaks very little English has been admitted to the emergency department with abdominal pain. What is the best way to communicate with this client?
1. Ask a nursing student who is fluent in Spanish to interpret. 2. Communicate by using hand gestures to supplement words. 3. Use a translator provided by the hospital or a community agency. 4. Use the client's 14-year-old son as a translator because he is fluent in both English and Spanish.
Changes in which of the following may indicate deterioration of the individual's condition? a. Pulse, blood pressure, respirations. b. Conscious state, pulse, blood pressure. c. Conscious state, pulse, blood pressure, oxygensaturations, respirations
d. Pulse, blood pressure, oxygen saturations, respirations.
What principles of skin care can you teach your adolescent patient regarding acne?
1. Eliminate chocolate and soda from your diet. 2. Cleanse your face gently on a daily basis. 3. Avoid oil-based cosmetics, creams, and makeup. 4. Choices 2 and 3
The ED nurse is preparing a patient with kidney trauma for emergency surgery. What is the best task to delegate to the UAP?
a. Set the automated blood pressure machine to cycle every 2 hours. b. Inform the family about surgery waiting area c. Go to the blood bank and pick up the units of packed red cells d. Insert a urinary catheter if there is no gross bleeding at the urethra