The nurse takes into consideration that when a depressed person presents herself as "sad" the term takes on the meaning of being:
a. fatigued and gloomy.
b. physically unclean.
c. hopeless and worthless.
d. suicidal.
C
The depressed person feels unworthy and hopeless. Depression does not automatically mean that the patient is suicidal. If there is a delusional state of being physically unclean, the patient's con-dition has deteriorated into a psychosis.
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The nurse is caring for a patient receiving an aminoglycoside (antibiotic) that can be nephrotoxic. Which of the following will alert the nurse that the patient may be experiencing nephrotoxicity?
A) Visual disturbances B) Yellowing of the skin C) A decrease in urine output D) Ringing noise in the ears
A nurse in a community health center has been having regular meetings with a woman who wants to stop smoking. Which of the following outcome decision options would the nurse document if the woman has not smoked for 3 months?
A) outcome met C) outcome not met B) outcome partially met D) outcome inappropriate
A client at 20 weeks gestation is scheduled for an ultrasound to diagnose fetal abnormalities. The nurse realizes that this diagnostic test is used to identify which of the following fetal anomalies? (Select all that apply.)
1. Diabetes mellitus 2. Spina bifida 3. Congestive heart failure 4. Hydrocephaly 5. Gastritis 6. Microcephaly
Which would positively affect readiness to learn?
a. Fear and denial b. Willingness to attain an optimal level of health c. Poor cognitive and motor development d. Lack of trust and confidence in the staff