Taking executive action that is remedial is
a. An internal action
b. An external action
c. An external monitoring process
d. A task or relationship internal action
A, D
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During assessment, the nurse is most likely to find the attitude of the depressed client toward his
illness to be a. "It's just a matter of time and I'll be well.". b. "If I ignore this, it will go away.". c. "I can fight this and lick it.". d. "I deserve to be this way.".
A low-risk client is in the second stage of labor. What actions should the nurse take regarding the auscultation of this client's fetal heart rate? Select all that apply
1. Evaluate after ambulation. 2. Assess heart sounds every 15 minutes. 3. Evaluate before the membrane rupture. 4. Evaluate before providing medications. 5. Count for 30 seconds and multiply times 2.
The NAP reports that M.Z.'s 8-hour intake is 520 mL and the output is 140 mL. Identify two
possible reasons that could account for the difference, and explain how you would assess each. What will be an ideal response?
A new father states, "I know nothing about babies," but he seems to be interested in learning. This is an ideal opportunity for the nurse to:
a. Continue to observe his interaction with the newborn. b. Tell him when he does something wrong. c. Show no concern, as he will learn on his own. d. Include him in teaching sessions.