A nurse is caring for a young man who is squatting in an old factory a mile away. The nurse documents that he is experiencing what type of homelessness?
A. Primary
B. Secondary
C. Tertiary
D. He is not homeless because he has an indoor shelter in which to sleep.
ANS: A
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A recent immigrant from Central America is brought to the clinic by her daughter, who has been a U.S. resident for 10 years. The daughter says the stress of immigration has made her mother unwell
For which expression of stress should the nurse be alert during the assessment interview? a. Motor restlessness b. Somatic complaints c. Memory deficiencies d. Sensory perceptual alterations
In which of the following situations would the use of physical restraints most likely be justified?
A) Mr. Y is agitated and aggressive while he is experiencing severe withdrawal from alcohol and is not responding to chemical sedation. B) Mrs. U, who has a diagnosis of dementia, was found wandering outside the hospital and nurses have been unable to redirect her to stay on the unit. C) Mr. I is delirious during the acute stage of his urinary tract infection and is ringing the call bell nearly continuously. D) Mrs. T is frequently entering other patients' rooms and attempting to crawl into others' beds.
Which of the following tests is beneficial for a nurse to detect alcoholic behaviors when assessing a client with alcohol dependence?
A) CAGE screening test C) Rule of one hundreds B) Blood alcohol level D) Breath alcohol concentration test
A nurse cares for four patients diagnosed with schizophrenia who are receiving antipsychotic medication. Which patient will receive the nurse's priority attention? The patient
a. with diaphoresis and a temperature of 104° F b. who reports feelings of neck and shoulder stiffness c. who reports auditory hallucinations of church bells clanging loudly d. who chants, "I am the messiah, delivered to earth from the heavens above"