If a client suddenly seems highly distractible and unable to focus attention, understand instructions, or shifts attention, the nurse should assess:

a. for a history of Alzheimer's disease. c. a family history of mental illness.
b. signs and causes of acute confusion. d. self-esteem disturbance.


ANS: B

Nursing

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A nurse is explaining a patient's decreasing bone density in terms of the balance between bone resorption and formation. What dietary nutrients and hormones play a role in the resorption and formation of adult bones? Select all that apply

A) Thyroid hormone B) Growth hormone C) Estrogen D) Vitamin B12 E) Luteinizing hormone

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Which of the following would be considered an indirect activity that may be delegated to unlicensed assistive personnel?

A) Delivering meal trays B) Obtaining vital signs C) Ambulation D) Specimen collection

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Which of the following doses of dopamine (Intropin) results in stimulation of beta1 receptors and increased myocardial contractility?

a. 1 mcg/kg/min b. 5 mcg/kg/min c. 15 mcg/kg/min d. 20 mcg/kg/min

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A patient complains of occasional periods of confusion and forgetfulness but reports a clear thought process most of the day. The symptoms have been gradually worsening. What is the best initial response by the nurse?

1. "Have you started any new medications?" 2. "You probably have nothing to worry about. It's most likely stress-related.". 3. "Everybody has a few problems with memory as they get older.". 4. "You should probably have an MRI of your brain.".

Nursing