An 18-year-old patient is scheduled for heart surgery tomorrow. To assess this patient's level of knowledge, the nurse would say
a. "Tell me the name of the surgery you are going to have."
b. "Do you understand what the doctor is going to do to you?"
c. "Would you be willing to take a test for me?"
d. "Tell me what you know about what is going to happen tomorrow."
ANS: D
You might also like to view...
A client diagnosed with major depressive episode hears voices commanding self-harm. Which should be the nurse's priority intervention at this time?
1. Obtaining an order for locked seclusion until client is no longer suicidal. 2. Conducting 15-minute checks to ensure safety. 3. Placing the client on one-to-one observation while continuing to monitor suicidal ideations. 4. Encouraging client to express feelings related to suicide.
A woman who is 38 weeks pregnant tells the nurse that the baby has dropped and she is having urinary frequency again. The nurse recognizes this as:
a. lightening. b. Braxton-Hicks contractions. c. initiation of labor. d. engagement.
An older female patient tells the nurse that even though she believes in a higher power she is not interested in information on the hospital's chaplaincy services since she has never been religious
What does the nurse recognize as the relationship between religion and spirituality? A) Some people are religious, while others are spiritual. B) Religion is a particular, structured way of expressing spirituality. C) Religion is the essence of our being that connects us with the Divine. D) All human beings have an innate desire for religious structure and spiritual fulfillment.
The nurse who forgets to document an element of clinical significance and recalls it later should:
a. not add this information to the chart as it will be out of sequence. b. add this information to the original entry and initial it. c. rewrite the original entry. d. include this information, dating and signing the additional material.