The nurse is conducting a patient interview. Which statement made by the patient should the nurse more fully explore during the interview?
a. "I sleep like a baby."
b. "I have no health problems."
c. "I never did too good in school."
d. "I am not currently taking any medications."
ANS: C
In every mental status examination, the following factors from the health history that could affect the findings should be noted: any known illnesses or health problems, such as alcoholism or chronic renal disease; current medications, the side effects of which may cause confusion or depression; the usual educational and behavioral level, noting this level as the patient's normal baseline and not expecting a level of performance on the mental status examination to exceed it; and responses to personal history questions, indicating current stress, social interaction patterns, and sleep habits.
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A patient has reported to the preadmission clinic in anticipation of her scheduled hysterectomy and oophorectomy
The patient states that her health care provider has explained the parameters for fasting prior to her surgery but tells the nurse that she does not entirely understand why she cannot eat or drink before surgery. What explanation should the nurse provide to this patient? A) "It's important to rest your stomach and bowels during and after surgery so that blood flow is concentrated to your vital organs." B) "Your surgeon and anesthetist need your stomach empty during surgery in case there is a need to insert a tube into your throat or stomach." C) "You need to fast before surgery so that the surgical team has a 'clean slate' for managing your fluid balance and nutritional status." D) "You're asked to refrain from eating and drinking so there's less of a chance that you'll inhale food or fluids into your lungs."
The nurse is monitoring a client in the active stage of labor. Which conditions associated with fetal compromise should the nurse monitor? (Select all that apply.)
a. Maternal hypotension b. Fetal heart rate of 140 to 150 bpm c. Meconium-stained amniotic fluid d. Maternal fever—38° C (100.4° F) or higher e. Complete uterine relaxation of more than 30 seconds between contractions
You are involved in designing a clinic for women in an inner-city neighborhood. A goal of this clinic might be:
a. Development of services that are identified in various studies as important for this target group. b. Partnership with area city councilors and health professionals to provide services that are consistent with their vision and funding sources. c. Provision of immunization and addictions services and health screening services for women in the area. d. Development of services that have been identified by the women and neighborhood advocates as necessary for their health care.
Prior to initiating a research study, a researcher conducts a power analysis to determine the sample size necessary for a power level of 0.8 and an alpha of .05. The researcher will
a. apply a quota sampling technique to improve generalizability. b. decrease the sample size to minimize costs. c. increase the sample size to avoid a Type II error. d. use stratified random sampling to minimize error.