The intensive care nurse plans to test nociception in the patient with a closed-head injury. Which nursing action is indicated?
1. Move an object across the patient's visual field.
2. Place a container of ground coffee close to the patient's nostrils.
3. Ask the patient to squeeze and release the nurse's hand.
4. Press the patient's nail bed.
Answer: 4
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During a routine physical examination, a client tells the nurse, "I don't know what to do anymore since my husband died and left me alone." Which is the priority nursing diagnosis for this client?
A) Helplessness B) Anxiety C) Imbalanced Nutrition D) Overload Stress
A new pediatric nurse asks why the pediatric floor has had an increase in the number of femur fractures during the month of July. A veteran staff nurse knows that:
1. An increase in femur fractures is common in summer months because of the outdoor activities children participate in. 2. An increase in femur fractures is common after school gets out because children are not watched as closely. 3. This increase is abnormal. Usually the increase is seen in the winter months with sledding accidents. 4. This increase is abnormal because most children do not receive femur fractures.
A patient who is working hard to complete unfinished business is in which stage of the grieving process?
A. Disbelief B. Bargaining C. Denial D. Acceptance
An instructor is describing culture and minority. Which statement would be most accurate for the instructor to include related to minority?
A) It refers to a group with less power or prestige in society. B) It means that a group has smaller population numbers. C) The group does not hold the accepted primary values. D) The members fail to act in appropriate ways.