A client hears the word "match." The client replies, "A match. I like matches. They are the light of the world. God will light the world. So let your light shine
" Which term should a nurse document that best describes this client's statement?
A) Word salad
B) Clang association
C) Loose association
D) Ideas of reference
C
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After teaching a client with perineal excoriation caused by diarrhea from acute gastroenteritis, a nurse assesses the client's understanding. Which statement by the client indicates a need for additional teaching?
a. "I'll rinse my rectal area with warm water after each stool and apply zinc oxide ointment." b. "I will clean my rectal area thoroughly with toilet paper after each stool and then apply aloe vera gel." c. "I must take a sitz bath three times a day and then pat my rectal area gently but thoroughly to make sure I am dry." d. "I shall clean my rectal area with a soft cotton washcloth and then apply vitamin A and D ointment."
During her aunt's wake, a four-year-old child runs up to the casket before a mother can stop her. An appointment is made with a nurse practitioner when the child starts twisting and pulling out hair
Which nursing diagnosis should the nurse practitioner assign to this child? 1. Complicated grieving 2. Altered family processes 3. Ineffective coping 4. Body image disturbance
A nurse is caring for a client with newly diagnosed hypertension. What dietary teaching should be included in the plan of care for this client?
A. "Avoid the use of canned or processed foods." B. "There is no dietary restriction on alcohol intake." C. "You may use salt substitutes freely for flavoring." D. "You may cook with salt, but do not add additional salt when your food is served."
A nurse is preparing a presentation about spirituality and religion. To adequately prepare for peer questions, the nurse should know that the three major religious groups in the United States are the
a. Lutherans, Catholics, and Presbyterians. b. Baptists, Assembly of God, and Lutherans. c. Roman Catholics, Protestants, and Jews. d. Protestants, Unitarians, and Catholics.