A nurse notes that a new client displays restlessness, hypervigilance, rapid pulse, dilated pupils, rapid shallow breathing, decreased attention, and an inability to reason effectively. The nurse should document the level of anxiety as:
1. Mild +1
2. Moderate +2
3. Severe +3
4. Panic +4
ANS: 3
The cognitive symptoms given in the scenario suggest severe anxiety. Options 1 and 2: In mild and moderate anxiety, thinking is not distorted. Option 4: In panic level anxiety, the client is even more disorganized.
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A pregnant client is diagnosed with cervical insufficiency. How should the nurse expect this client to explain symptoms of this condition?
1. "I've been having contractions every 4 hours." 2. "I'm not having any pain and I do not feel any contractions." 3. "My cervical pain has gotten much worse over the past 2 days." 4. "I'm not having any pain, but my contractions are getting stronger."
Which finding would prevent early discharge of a postpartum mother?
a. Hgb of 8 gm/dL c. Output 200 to 300 mL each void b. Birth at 38 weeks' gestation d. Lochia rubra, scant amounts
The essential ethical principle of ____________________ is the legal and ethical foundation for the use of advanced directives
Fill in the blank(s) with correct word
An educational program is planned that emphasizes self-expression and helping learners to grow and develop according to their natural inclinations. The theory on which this approach is based is
a. Behavioral theory b. Social learning theory c. Cognitive theory d. Humanist theory