The initial nursing action for a newly admitted anxious client is to
A. assess the client's use of defense mechanisms.
B. assess the client's level of anxiety.
C. limit environmental stimuli.
D. provide antianxiety medication.
Ans: B. assess the client's level of anxiety.
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The nurse is updating a care plan for a 65-year-old patient just admitted to the unit for uncontrolled blood glucose associated with type 2 diabetes. The patient has had diabetes for 5 years
While the nurse is obtaining a health history, the patient confides that he experiences erec-tile dysfunction. Select the best nursing diagnosis to add to the plan of care. a. Noncompliance related to ineffective control of blood glucose, as evidenced by erectile dysfunction and loss of libido b. Activity intolerance related to chronic disease processes secondary to type 2 di-abetes, as evidenced by erectile dysfunction c. Body image disturbance related to erectile dysfunction, as evidenced by the pa-tient's complaints of loss of libido d. Sexual dysfunction related to microvascular changes secondary to type 2 di-abetes, as evidenced by erectile dysfunction
A resident in the long-term care facility has just expired, and the family is on the way to say their last goodbyes. What should the nurse do prior to the arrival of the family? (Select all that apply.)
a. Remove equipment (e.g., IV poles and tubing, feeding tubes, oxygen equipment). b. Dress the resident in a clean gown and cover him or her with a clean sheet. c. Remove dentures. d. Apply a diaper to catch draining body fluids. e. Provide privacy by drawing the curtain or moving the other resident to an unoccupied room.
The nurse hears a news report about an older woman having her purse stolen. The assailant said, "Give me your purse, old lady, or I'll kill you." What crimes have been committed? (Select all that apply.)
a. Assault b. Battery c. Larceny d. Robbery e. Burglary
Which of the following is the most correct statement about homosexual violence?
A) Emotional abuse is the primary form of violence in same-sex relationships. B) Interpersonal violence is a major health problem in the gay population. C) Violence is not a problem in lesbian relationships, because it is directly related to gender issues. D) Violence is not as common in the homosexual population as in the straight population.