When exploring influences on sexuality during the nursing assessment, it is most important to ask about the client's:
A) Sexual performance.
B) Cross-dressing.
C) Fear of failure.
D) Culture.
D
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The nurse is caring for a patient admitted with new onset stroke symptoms. The nurse is aware that in order to maximize functioning and limit long-term complications, the patient should be mobilized within ____________________ hour(s)
Fill in the blank with the appropriate word.
Persons with normal age-related sensory changes are likely to have the most difficulty distinguishing which of the following?
a. Spoken pairs of phrases like "she's praised" and "fees raised" b. An orange towel hanging on a beige wall c. "Go" and "to" in lowercase letters in fine print d. Spoken words pairs like "cupful" and "capful"
A patient with a history of peptic ulcer disease has presented to the emergency department (ED) in distress. What assessment finding would lead the ED nurse to suspect that the patient has a perforated ulcer?
A) The patient has abdominal bloating that developed rapidly. B) The patient has a rigid, "boardlike" abdomen that is tender. C) The patient is experiencing intense lower right quadrant pain. D) The patient is experiencing dizziness and confusion with no apparent hemodynamic changes.
The nurse assessing a patient's affect is trying to discern the patient's:
1. problem. 2. mood. 3. orientation. 4. needs.