The environment for a confused resident should provide
a. A stark and unstimulating atmosphere
b. Sensory stimulation through colors, furniture, and wall coverings
c. A homelike, familiar atmosphere with the resident's own belongings
d. A standardized appearance
C
Personalization of the environment for the resident's comfort and to reflect the resident's identity is the most important environmental consideration. Responses A and B have mixed reviews in the literature. The use of colors and stimulating wall coverings has been shown to increase agitation, yet barren and stark surroundings might relate to sensory deprivation. Response D is incorrect. If every room appears the same, it may add to the resident's confusion.
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The client is diagnosed with cancer, and receives a series of chemotherapy
Following this treatment, the nurse reads the client's medical record and learns the tumor has been designated a Stage IV, T4, N3, M1, and interprets this to mean the tumor has: 1. Been reduced in size by the chemotherapy. 2. Responded to chemotherapy, but the chemotherapy needs to be continued. 3. Metastasized, and there is lymph node involvement. 4. Grown, but is limited to the original tumor.
The type of research designed to document the effectiveness of health care and nursing services in a broad sense is called which of the following?
A) A process analysis B) Outcomes research C) An impact analysis D) Methodological research
When assisting a patient with bedtime care, a nurse demonstrates caring by doing which of the following? Select all that apply
1. Dimming the patient's lights 2. Removing the patient's urinal 3. Removing the patient's dentures 4. Removing the patient's call light 5. Removing the patient's hearing aids
What type of pain is most often associated with a change in vital signs?
a. Chronic nonmalignant pain b. Acute pain from trauma c. Cancer pain d. Neuropathic pain