Which type of hallucination is the MOST serious because it often results in the client causing harm to him- or herself or others?
a. auditory c. ideation
b. command d. visual
B
Command hallucinations are the most serious because the client hears voices that often result in the client causing harm to him- or herself or others. These hallucinations are extremely dangerous because the demands are so strong that the individual is very likely to act on them.
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A patient asks the nurse who is picking up the breakfast trays, "What will happen during the radiology test this morning?" The nurse replies, "All the necessary explanations are on that sheet of paper on the table
" What does this response violate? a. Confidentiality b. Privacy c. Explanation of care d. Continuity of care
You are caring for a postoperative patient who is experiencing pain and anxiety. Which intervention will assist most in decreasing the patient's pain and anxiety?
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The leader of a work group acts as a facilitator, serves as a resource person, and encourages members to actively participate. This leadership style would be described as:
a. democratic. b. laissez-faire. c. autocratic. d. synergistic.
The nurse is caring for a patient following a thyroidectomy. Which postoperative assessment activity is most important to detect the development of thyrotoxic crisis?
a. Monitor vital signs. b. Monitor the surgical dressing. c. Assess for confusion and delirium. d. Assess hand grips and foot presses.