An intensive care unit nurse reports the client's condition to the nurse on the medical unit. This is a(an)
A) Primary source
B) Secondary source
C) General report
D) Informational report
Ans: B
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The client is describing her trip to town. Her speech consists of a rambling, jumbled set of unrelated words that no one can understand. This speech disturbance is called
1. neologism. 2. word salad. 3. flight of ideas. 4. verbigeration.
An elderly client recognizes the need for help with personal care at home yet does not want to move to a nursing home or assisted living facility. Which of the following can the nurse do to assist this client?
1. Suggest the client move in with adult children 2. Remind the client that physical strength will grow weaker at home until a nursing home is required 3. Recommend a personal care assistant to help with activities of daily living and self-care 4. Discuss with the physician and determine the client is unable to make decisions and must be admitted to a nursing home immediately
Precipitating stressors are stimuli that:
a. society views as being deviant or troublesome. b. the family views as disruptive or burdensome. c. the patient views as challenging, threatening, or demanding. d. the nurse views as noxious, overwhelming, or culturally unacceptable.
A client is diagnosed with terminal cancer. Which situation would the nurse assess as reflecting Kübler-Ross's grief stage of "anger"?
A. The client registers for an iron-man marathon to be held in 9 months. B. The client is a devoted Catholic but refuses to attend church and states that his faith has failed him. C. The client promises God to give up smoking if allowed to live long enough to witness a grandchild's birth. D. The client gathers family in order to plan a funeral and make last wishes known.