A nurse assesses residents of the acute care facility for pressure ulcers. Which older adult should the nurse monitor closely for pressure ulcers?
A) The Asian with multiple nevi on extremities
B) The Ethiopian former store clerk
C) The fair-skinned Caucasian woman
D) The wrinkled face Hispanic ranch worker
Ans: B
Persons with darkly pigmented skin have a higher incidence of serious pressure ulcers. Nevi, sun exposure, and fail skin are related to cancer, not pressure ulcers.
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A woman gives birth to a newborn at 36 weeks' gestation. She tells the nurse, "I'm so glad that my baby isn't premature.". Which response by the nurse would be most appropriate?
A) "You are lucky to have given birth to a term newborn.". B) "We still need to monitor him closely for problems.". C) "How do you feel about delivering your baby at 36 weeks?" D) "Your baby is premature and needs monitoring in the NICU.".
A question during an interview such as, "Why do you feel that way," is called a _____
A. response set bias B. probe C. semantic differential D. contingency question
The nurse is working with a group of parents of a child or children with chronic conditions. The nurse concludes that a parent's caregiver burden could become overwhelming when the parent states which of the following?
1. "My mother moved in and helped ustake our quadruplets home." 2. "Our health insurance sent us arejection letter for my child's brandname medication but we must fill out forms to get the generic." 3. "I chose to quit my job to be homewith my child,and my husband helps in the evening when he can." 4. "I have to care for my child dayand night,which leaves little time for me."
During the admission assessment, the nurse asks the client, "How are you feeling?" The client responds, "I feel, I kneel, do you steal?" The nurse recognizes this response as which of the following?
A) Clang association B) Echolalia C) Flight of ideas D) Neologisms