The nurse is caring for an adolescent who will be hospitalized for several weeks while in traction. The patient frequently has a room full of friends and they can be heard laughing
The nurse recognizes this patient is meeting which of Maslow's hierarchy of needs?
1. Self-esteem
2. Love and belonging
3. Safety
4. Self-actualization
ANS: 2
The adolescent is seeking a sense of belonging from peers, which is of particular importance during this age group.
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__________ is a side effect that can occur while a client is taking an antipsychotic medication, causing muscle rigidity, high fever, unstable vital signs, confusion, and agitation
a. Drug-induced parkinsonism b. Neuroleptic malignant syndrome (NMS) c. Tardive dyskinesia d. Dystonia
All of the following are components of the planning process EXCEPT
a. revision c. developing nursing interventions b. establishing priorities d. documenting
Which questions are appropriate for the nurse to ask during a cultural assessment of a client who is new to the clinic? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. What genetic and other biological differences affect caregiving? 2. Which family member must be consulted for decisions about care? 3. What type of health provider is the most appropriate? 4. Does the client have beliefs or traditions that might impact the care plan? 5. Are communications patterns established?
A nurse is caring for a 50-year-old client suspected to have an exophthalmia and goiter
What symptom should the nurse monitor this client for? A) Lethargy and inactivity B) Slow pulse rate C) Shrinking of the eyes D) Weight loss