Which one of the following patient characteristics is most likely to limit patient reliability during history taking?
a. The patient's measured IQ is above aver-age.
b. The patient is alert and oriented to time and place.
c. The patient is sleep- and sensory-deprived.
d. The patient speaks the same language as examiner.
C
A partial or total loss of any of the senses can limit a patient's reliability as a historian. Emotional constraints, language barriers, cultural barriers, and an unresponsive or comatose patient can all affect a patient's ability to be a thorough historian. All the other options would not limit a pa-tient's reliability.
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A woman comes to the clinic for her 24-week prenatal visit. This is her second pregnancy. The patient does not wish to know her weight and when her clinic record is reviewed, her total weight gain for this pregnancy is 5 pounds. She is very concerned about her changing body shape. What disorder does the nurse suspect?
A. Anemia B. Anorexia nervosa C. Gestational diabetes D. Gestational hypertension
A student asks the pharmacy instructor where air exchange takes place in the human body. What would be the instructor's best response?
A) "Air exchange in the human body takes place in the trachea." B) "Air exchange in the human body takes place in the bronchioles." C) "Air exchange in the human body takes place in the alveoli." D) "Air exchange in the human body takes place in the nares."
Many current motivational strategies that have been developed in the United States may be missing important elements of ____
a. Cultural differences b. Diverse values c. Ethical concerns d. Worldly variation
Infection control can present a challenge to the home care nurse, especially with clients who have open wounds. Important client teaching by the nurse must include:
A) avoiding contact with the open wound. B) prohibiting family members to change dressings. C) hand washing and proper disposal of waste. D) documentation of wound care procedures.