A 73-year-old patient with a history of seizures was being admitted to the hospital after a grand mal seizure took place at a shopping mall. Her husband accompanied her to the hospital and was being interviewed by the nurse
Which question should the nurse ask to quickly focus on her symptoms? A. "Tell me about your wife's history of seizures."
B. "How long did the seizure last?"
C. "Tell me how Jenalee's seizure disorder has affected her lifestyle."
D. "Tell me why you brought Jenalee to the hospital today."
B
Once patients tell their story, use a problem-seeking interview technique. This approach takes the information provided in the patient's story and then more fully describes and identifies specific problem areas. For example, focus on the symptoms the patient identifies and ask closed-ended questions that limit the patient's answers to one or two words such as "yes" or "no" or a number or frequency of a symptom.
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When a critical care nurse cannot remove the stimulus that causes anxiety, such as myocardial infarction, the nurse must
A) teach the patient to remove the stimulus him/herself. B) assess the effectiveness of the patient's behaviors and possibly help modify them. C) instruct the patient to utilize a single coping mechanism. D) promote patient regression in order to conserve patient energy.
Which of the following statements made by a new mother would be a cause of concern to the nurse?
a. "I usually keep the temperature in my house at 72° F." b. "I don't intend to spoil my baby by picking him up every time he cries." c. "I will start my baby on solid foods at 5 months." d. "I plan to position my infant on his side when sleeping."
An adolescent is brought to be seen by a caregiver for severe abdominal pain
The patient is diagnosed with pelvic inflammatory disease (PID). This is the third time the patient has been treated for PID. Which action by the nurse would be most appropriate? A) Contact the necessary authorities to report a suspected case of sexual abuse B) Take the patient to a private room and interview her regarding her sexual history and partners C) Take the caregiver to a private room and tell her that the patient's diagnosis can only come from sexual activity D) Talk to the patient and caregiver together and explain that the condition is often a result of a sexually transmitted infection and discuss the importance of safe sex practices
A patient reports severe abdominal cramping and diarrhea. Assessment reveals a temperature of 102°F (38.8°C) and pulse of 82 beats/min
Results of a complete blood count reveal lower than normal segmented and banded neutrophils and higher than normal lymphocytes. Which type of infection does the nurse suspect this patient is most likely experiencing? a. Viral b. Fungal c. Parasitic d. Bacterial