An outcome for a client is that he will demonstrate mentally healthy behavior. The behavior that
indicates the outcome is being met is that the client
a. behaves without considering the consequences of his actions.
b. sees himself as approaching his ideals and as capable of meeting demands.
c. passively allows others to assume responsibility for major areas of his life.
d. is aggressive in meeting his own needs without considering the rights of others.
ANS: B
Option B describes an adaptive, healthy behavior. Options A, C, and D are considered maladaptive
behaviors.
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The nurse is assessing a patient whose chart indicates a Grade 3 heart murmur. What action is best in order to hear the murmur?
a. Ensure that the room is extremely quiet. b. Use a specialized stethoscope with amplification. c. Auscultate the patient's chest with a stethoscope. d. Place the stethoscope diaphragm on the patient's back.
The nurse is making a client's bed. What safety measure should the nurse implement at this time?
1. Begin at the head and move toward the foot, loosening bottom linens. 2. Miter corners at the head of the bed. 3. Place the soiled sheet in a laundry bag. 4. Prepare the client.
29. The school nurse monitors the amount of physical activity children in a local elementary school have planned for each day. This data will help most in meeting which foundation health measure of Healthy People 2020?
A) General health status B) Health-related quality of life and well-being C) Determinants of health D) Disparities
Nitroglycerin is provided as a sublingual tablet. That means that the tablet should be dissolved ______.
a. In a cup of water b. Under the tongue c. In the eye d. In normal saline