The nurse making an admission assessment notes the client is profoundly depressed to the point of
being mute and motionless. The client has refused to bathe and eat for a week, according to her
parents.
The nurse should code the client's global assessment of functioning as
a. 100.
b. 50.
c. 25.
d. 10.
ANS: D
The client is unable to maintain personal hygiene, oral intake, or verbal communication. She is a
persistent danger to herself because she refuses to eat. Option A indicates high-level functioning.
Options B and C suggest higher functional abilities than the client presently displays.
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Which of the following psychosocial nursing diagnoses are related to anger and aggression? (Select all that apply.)
a. Anxiety b. Violence, risk for other-directed c. Hopelessness d. Violence, risk for self-directed e. Coping ineffective, individual f. Fear
The narcotic control system is used by nurses working in any hospital or agency. There are special conditions all nurses must follow. (Select all that apply.)
1. Narcotics are watched by everyone on the unit. 2. Medication is stored in a special cabinet. 3. The nurse signs out for the medication. 4. An inventory must be kept on drugs.
The nurse asks you to weigh a resident before an examination. Which is correct?
a. The person wears a hospital gown and slippers. b. The person is undressed for the exam after being weighed. c. The person urinates before being weighed. d. The person chooses what to wear.
Which of the following are common causes of disabilities?
a. Influenza b. Vitamin deficiency c. Choking and aspiration d. Birth injuries and birth defects