Long-term memory is assessed by asking the patient to repeat
a. the foods he ate for breakfast that morning.
b. his mother's maiden name.
c. the three items shown to the patient 5 minutes previously.
d. one of the headline stories from the morning newspaper or television newscast.
B
Long-term memory is assessed by asking the patient to repeat his mother's maiden name. Long-term memory is memory that is retained for at least 24 hours. Options "a," "c," and "d" are testing memory that is retained for less than 24 hours. This is short-term memory, not long-term memory.
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The nurse assesses several infants during well-baby checkups. Which statement made by a parent would cause the nurse to suspect that the infant may have cerebral palsy (CP)?
A) "My 6-month-old baby is rolling from back to prone now." B) "My 8-month-old cannot sit without support." C) "My 10-month-old is not walking." D) "My 3-month-old smiles at me all the time."
A client believes she has a brain tumor despite numerous diagnostic tests that show no evidence of a
tumor. She tells the nurse "People with brain tumors vomit. Yesterday I vomited all day. I know I have a brain tumor.". The approach that fosters cognitive restructuring is a. "You do not have a brain tumor. The more you talk about it, the more it reinforces your illogical thinking. We'll talk about something else.". b. "Let's see if there are any other possible explanations for your vomiting.". c. "How worried you seem! Let's talk about how you're feeling.". d. "What interpersonal problems have you had recently?"
The nurse taking a specimen from a throat culture would (place the options in sequence):
1. depress the tongue with a tongue blade. 2. place the applicator in a culture tube. 3. ask the patient to cough deeply. 4. ask the patient to tilt head back. 5. swab the back of the throat and tonsils.
A nurse is monitoring a client who has just undergone radical neck dissection. The nurse notes that the client's blood pressure has dropped from 132/84 to 90/50 mm Hg and that the pulse has increased from 78 to 96 beats/min. On the basis of these findings, the nurse immediately:
A. Suctions the client B. Obtains a pulse oximeter C. Contacts the health care provider D. Increases the rate of the client's intravenous (IV) solution