The nurse notes that one of the members in a group therapy session is asking the other members for help with problems, but then appears to reject all the solutions that the members suggest. What is the best way the nurse will describe this patient?
1. Help-seeking protestor
2. Help-rejecting protestor
3. Help-rejecting complainer
4. Help-seeking manipulator
3. Help-rejecting complainer
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During the examination of an unconscious patient, the nurse notices that the patient's pupils are fixed and dilated. What is the clinical significance of the nurse's finding?
A) It suggests onset of metabolic problems. B) It indicates paralysis on the right side of the body. C) It indicates paralysis of cranial nerve X. D) It indicates an injury at the midbrain level.
The following statement appears on a nursing care plan: "Prior to discharge, [Client] will be able to complete wound care without assistance." This statement is an example of a:
1. nursing intervention. 2. nursing diagnosis. 3. client goal. 4. client outcome.
The nurse is collecting a health history from a client in whom asthma is suspected. It would be most important for the nurse to obtain assessment data about the client's:
1. emotional status. 2. physical strength. 3. surgical history. 4. activity tolerance.
While reviewing an adult client's chart, a nurse notes average daily intake of fluids as 2,000 mL/day. What will the nurse do based on this information?
A) Change the plan of care to include forcing fluids. B) Ask the client to drink more water during the day. C) Post a sign limiting fluids to 1,000 mL every 24 hours. D) Continue with care; this is a normal fluid intake.