The nurse is evaluating a client diagnosed with a dissociative disorder for discharge criteria. A statement made by the client indicating that discharge criteria have been met would be:
1. "I am sleeping 2-3 hours at night before I wake up."
2. "I will not change my medicines without contacting the doctor."
3. "I am not sure I can live with these symptoms."
4. "I think the doctor might be hiding my real diagnosis from me."
ANS: 2
The response in option 1 indicates an insufficient amount of sound sleep. Option 3 may indicate hopelessness, and option 4 indicates the possibility of paranoia.
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A patient on chemotherapy has a platelet count of 3000/mm3 . When the patient complains of joint pain, the nurse should give which instruction?
a. Take two regular-strength aspirin. b. Take two over-the-counter–strength ibuprofen tablets. c. Take two prescription-strength ibuprofen tablets. d. Take two acetaminophen tablets.
A patient's daughter approaches a nurse to explain that upon his death, female nurses should not touch him. The family also asks that the body remain completely covered with his feet turned toward Mecca. The nurse identifies that the family is
1. Buddhist. 2. Jewish. 3. Muslim. 4. Orthodox.
While conducting the first prenatal health history visit, the nurse learns that a pregnant patient is taking various herbal remedies and over-the-counter medications for minor ailments
Which nursing diagnosis should the nurse identify as being appropriate for the patient at this time? A) Risk for injury to fetus related to lifestyle choices B) Deficient knowledge regarding exposure to teratogens during pregnancy C) Health-seeking behaviors related to strong cultural desire to have a healthy child D) Health-seeking behaviors related to guidelines for nutrition and activity during pregnancy
Surveillance data are analyzed and interpretations are used to develop policies. Surveillance can occur within local organizations (e.g., infection control systems in hospitals). The purpose of this surveillance is to:
1. Protect the public against isolated patients 2. Rid the hospital of pathogens 3. Improve quality of care and outcomes 4. Remove pseudomonas bacterium from a facility