Which of the following is not a common cause of falls that result in injury to older adults?
1. Altered vision
2. Carelessness
3. Medication reactions
4. Confusion and anxiety
5. Fear of incontinence
ANS: 2
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A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which cri
a. High anxiety b. Denial c. Reconciliation d. Adaptation
While documenting in a patient's chart, a nurse recognizes that
1. Documentation serves as a temporary part of the medical record. 2. Documentation is one of the least important tasks performed in nursing. 3. Documentation is the act of charting only abnormal information related to a patient. 4. Documentation is evidence of what transpired during an event requiring medical care.
What specific adjustments in providing care should the nurse make when planning interven-tions for the client who is malnourished?
A. Provide a quiet environment for meals. B. Encourage the client to have friends visit during meal times. C. Plan meals to be large and contain as many calories as possible. D. Be certain that the client has emptied his or her bladder before meals.
The community health nurse, during a home visit to her client, observed that a family member was hearing voices and threatening to hurt himself. Which level of prevention involves identify-ing that the client is in need of care?
1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 4. Intermediate prevention