The nurse is completing a heritage assessment with an older patient from a non-English-speaking culture. Which question would not be a part of this assessment?
1. Where was your mother born?
2. Did you live in an extended family?
3. Where did your father go to school?
4. Do you belong to a religious institution?
3
Rationale: The question "Where was your mother born?" is a question asked when completing a heritage assessment.
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As the nurse makes night rounds on sleeping clients, several clients are noted to be breathing very slowly. Stages of NREM sleep account for some decreased physiological functions
Identify the stage that correlates to the choice given: Standard Text: Click and drag the options below to move them up or down. 1. Lasts only a few minutes. 2. Light sleep; body continues to slow down. 3. Sleeper difficult to arouse 4. Heart and respiratory rates 20–30% below waking rates
A local anesthetic, such as lidocaine, administered 30 minutes before meals may be helpful for a client experiencing stomatitis
Indicate whether the statement is true or false.
Client A lives alone and has become room-bound in her bedroom, which is the only place she feels calm and relaxed. She experiences extreme panic if circumstances force her to leave her room
Client B experiences extreme panic when alone and insists on accompanying family members on their errands to avoid staying at home alone. He feels calm and relaxed while he is out with family. Your nursing care interventions for these two clients are correctly based on what knowledge? a. Both clients are manifesting the same disorder based on fear of becoming helpless and incurring a panic attack. b. Client A is manifesting a disorder based on unreasonable fear of specific objects, while Client B is manifesting a disorder based on feeling an overwhelming need to perform ritualistic behaviors. c. Neither client is manifesting an anxiety disorder, as each is choosing his or her behavior within the range of normalcy. d. Client A is manifesting agoraphobia, but Client B is manifesting generalized anxiety. disorder.
A client has just been informed by her physician that she has cancer. The client says that she is not ready to discuss this with her family
The nurse encourages the client to consider sharing the information with her family so that the family can support her through the decisions she will need to make regarding her care. Which following principle must the nurse be careful not to breach? a. Confidentiality b. Fidelity c. Veracity d. Justice