The nurse is caring for an elderly client who has written advance directives. This means that the
a. Client has made decisions regarding treatment if he becomes incapacitated.
b. Client has a living will.
c. Client has a Do Not Resuscitate order.
d. Client's family has decided on a medical treatment regimen.
ANS: A
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The nurse is using a theory which includes positive reinforcement with rewarding client behavior in group participation activities. From which theorist is the nurse applying her strategies?
A) Sigmund Freud B) Erik Erikson C) Harry Sullivan D) B. F. Skinner
The nurse is obtaining objective data from a client with lymphangitis of the left arm. What does the nurse expect to find when collecting this data from the client?
A) Pulsatile mass in the axilla B) Weeping and oozing of fluid from the arm C) Cold, clammy arm D) Red streaks following the course of the lymph channels
A young mother confides in the nurse that her husband does not want her to give so much attention to their new baby for fear that the child will become spoiled. The nurse's best response would be:
a. "Your husband is correct. Constant attention makes an infant irritable and spoiled.". b. "Your husband is not correct. Interaction helps an infant establish trust.". c. "Your husband is concerned for you as giving so much attention to an infant significantly depletes your energy.". d. "Your husband knows what he is talking about. A lot of attention causes a child to become self-centered.".
A client has been admitted to the detoxification unit following binge drinking. Even though the client is not currently intoxicated, he is combative and exhibits altered thought processes. The priority nursing diagnosis for this client is:
A) Risk for Aggressive Behaviors related to alcohol abuse. B) Risk for Self-Mutilation related to alcohol withdrawal and altered thought processes. C) Risk for Other-Directed Violence related to alcohol withdrawal. D) Risk for Altered Development related to chronic effects of alcohol intoxication.