The nurse is providing care for a patient admitted for observation after exhibiting manic behavior. Which assessment will be priority for this patient?
Respiratory examination
Neurological examination
Genitourinary examination
Cardiovascular examination
Neurological examination
Every initial psychiatric assessment includes a thorough neurological exam. A cardinal rule in psychiatric evaluation is to rule out medical causation of symptoms; therefore, an accurate and thorough neurological exam is critical. The other examinations may be necessary, but the neurological exam is the priority.
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The nurse is performing a physical exam on a patient diagnosed with liver failure resulting from chronic alcoholism. The nurse notes that the abdomen is swollen and decides to assess for abdominal skin tenderness and temperature
Which of the following techniques would the nurse use to collect this data? a. Inspection b. Percussion c. Palpation d. Auscultation
Which dietary selection should lead the nurse to conclude that the dietary teaching is successful for a patient on a low-sodium diet?
a. Bologna sandwich with tomato juice b. Hotdog on a bun with pickle relish and skim milk c. Baked chicken, white rice, and apple juice d. Peanut butter and jelly sandwich with to-mato soup
Which of the following is true about qualitative research?
a. A priori categories are established for analysis purposes. b. Data are usually collected in a laboratory setting. c. Focus is on studying the "whole." d. Intuition and abstraction are suppressed.
When a nurse acquires all the data needed to make a nursing judgment, which concept is being used?
a. assumption c. relevance b. depth d. assessment