A client is hearing voices telling him to kill himself. The nurse would document this type of perceptual disturbance as which of the following?
A) Illusion
B) Delusion
C) Thought insertion
D) Hallucination
D
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A community health nurse has collected data for several months on the birthweights of newborns to mothers who smoked throughout their pregnancy. This nurse is acting in which role?
A) Collaborator B) Manager C) Researcher D) Clinician
When a nurse working in a well-child clinic asks a parent's address, the parent responds, "My children and I are homeless." The nurse can assess this response as
a. a common occurrence, because 1 out of 50 children are homeless. b. a signal to investigate the possibility that the parent has severe mental illness. c. evidence of child abuse or neglect that should be reported to social service agencies. d. unusual because most homeless individuals have severe mental illness or substance abuse problems.
The nurse is caring for a patient with increased intracranial pressure and confusion. Which of the following interventions would be appropriate for this patient?
1. keep the patient's room dark at night 2. encourage the family to visit whenever possible 3. keep noise to a minimum 4. keep one side rail down at all times
The nursing student correctly describes the process of phagocytosis as:
1. The initial reaction in the inflammatory response 2. A protein produced in response to a viral infection 3. A process required for the production of antibodies 4. A process whereby a particle is ingested and digested by a cell