The nursing assistant remarks to the nurse, "The patient with amnesia looks together, but when I talk to her, she seems rather vague. What should I be doing for her?" The best reply would be:
a. "Provide more info about her past to reduce the unknowns that cause her anxiety.".
b. "Use short, simple sentences and keep her environment calm and protective.".
c. "Spend as much time with her as you can, and ask questions about her recent life.".
d. "Structure her time with lots of activities to keep her busy and stimulated.".
B
Disruptions in ability to perform activities of daily living, confusion, and anxiety are often apparent in patients with amnesia. Offering simple directions to promote activities of daily living and reduce confusion helps increase feelings of safety and security. A calm, secure, predictable, protective environment is also helpful when a person is dealing with a great deal of uncertainty. Recollection of memories should proceed at its own pace, and the patient should only gradually be given information about her past. Asking questions that require recall that the patient does not possess will only add frustration. Quiet, undemanding activities should be provided as the patient tolerates them and should be balanced with rest periods; the patient's time should not be loaded with demanding or stimulating activities.
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The nurse has delegated to the UAP to assist a patient with ambulating in the hallway with a cane. Which statement by the UAP indicates a need for further education?
a. "I should report any complaints of soreness to the nurse." b. "I should watch for indications that the patient has difficulties using the cane." c. "I should let the nurse or PT know if the cane doesn't seem to fit correctly." d. "I should teach the patient how to walk with the cane."
The nurse understands that the purpose of accurate documentation of the care of intravenous access devices is to: Select all that apply
1. Describe the care rendered. 2. Describe the client's response. 3. Allow for tracking outcomes. 4. Prevent injury to the client. 5. Inform the physician of the procedure.
The most important pathway for pain sensation is the
A) Corticospinal tract B) Dorsal horn neural tract C) Afferent tract D) Spinothalamic tract
What is the mechanism of action of local anesthetics on the pain response?
A. Local anesthetics stimulate sensory nerves at low doses that increase the response of the motor nerves. B. Local anesthetics interact with nerve membranes to increase nerve conduction. C. Local anesthetics block sensory nerves at low doses that do not inhibit motor nerve function. D. None of the above are correct.