Psychological assessments would be used for which of the following?
a. Determining placement in the facility
b. Identifying strengths and weaknesses
c. Initiating care planning
d. All of the above
D
Psychological assessments would be used for all of the above and as initial assessment for mental illness and family education.
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The ICU nurse is concerned with her patient's arterial blood gas (ABG) results—especially the pH 7.30; and PCO2 49 mm Hg. The nurse interprets these ABG results to mean respiratory acidosis
The nurse knows which of the following are clinical manifestations of respiratory acidosis? Select all that apply. A) Headache with complaints of blurred vision B) Muscle twitching C) Hyperactive deep tendon reflexes D) Complaints of paresthesia sensations around the lips/mouth E) Numbness in the fingers and toes
The nurse is planning care for an older adult client with type 2 diabetes mellitus. Which nursing diagnosis would be most appropriate for this client?
A) Risk for Falls B) Risk for Infection C) Ineffective Tissue Perfusion: Cardiac D) Impaired Tissue Integrity
How should a nurse teach a patient to perform deep breathing and coughing to use postoperatively?
A) The patient should take three deep breaths and cough hard three times. B) The patient should take three deep breaths and exhale forcefully, take a quick short breath and cough from deep in the lungs. C) The patient should take a deep breath in through the mouth and exhale all the air out through the mouth, take a short breath, and cough from deep in the lungs. D) The patient should rapidly inhale, hold for 30 seconds, and exhale slowly.
A 15-year-old girl came to the free clinic for care as she had become sexually active some time ago and decided she needed to obtain appropriate health care
What care can the clinic probably give to her without involving her parents? Select all that apply. A. An abortion if that is her decision B. Antibiotics for a skin infection from scratching her acne C. Birth control pills or Depo-Provera D. Pap smear and routine gynecologic care E. Pregnancy tests and prenatal care if pregnant F. Diagnosis and treatment for any sexually transmitted disease