All of the following are examples of functional goals except:
A) The patient will walk to the dining room for dinner
B) The patient will perform personal hygiene independently
C) The patient will use a spoon to stir her coffee
D) The patient will choose his clothing for the day
B
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A patient in the ICU with severe head trauma remains stable for the first 24 hours after admission, with no indication of intracranial hypertension. Suddenly, however, the patient begins showing signs of Cushing's triad
The nurse recognizes that this occurrence indicates that the patient's compensatory mechanisms have become exhausted. What physiological change occurs as part of this exhaustion of compensatory mechanisms? Select all that apply. A) Decrease in volume of contents of the intracranial compartment B) Decrease in intracranial pressure C) Decrease in cerebral perfusion D) Decrease in compliance within the intracranial compartment
The nursing instructor is reviewing the plan of care with a student regarding care of a postpartum client. The instructor asks the nursing student about the taking-in phase according to Rubin's phases of regeneration
The student is asked about client behaviors that are most likely to occur during this phase. Which of the following responses, made by the student, indicates an under-standing of this phase? 1. "The client would be independent." 2. "The client initiates activities on her own." 3. "The client participates in mothering tasks." 4. "The client is self-focused and talks to others about labor."
The nurse is taking care of a client in a healthcare facility. Which nursing action is the best in breaking a link in the chain of infection?
A) Cover one's mouth and nose when sneezing. B) Place contaminated linens in a paper bag. C) Use personal protective equipment sparingly. D) Wear gloves with patient care.
A patient tells a nurse, “I sometimes get into trouble because I make quick decisions and act on them.” A therapeutic response would be:
a. "Let's consider the advantages of being able to stop and think before acting."
b. "It sounds as though you've developed some insight into your situation."
c. "I'll bet you have some interesting stories to share about overreacting."
d. "It's good that you're showing readiness for behavioral change."