A nurse is gathering information from the family of a patient who is experiencing confusion. What important question should the nurse ask the family?
a. "Are you sure she is confused? Maybe she just didn't hear what you were saying."
b. "When did you first think she might be confused? Tell me exactly what hap-pened."
c. "Did something bad happen to her during her childhood?"
d. "How can you say she is confused? She knows who she is."
B
Family members may be able to provide helpful information when the patient cannot. The nurse should ask when the symptoms of confusion started and whether the confusion is constant or intermittent.
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A statement which accurately describe genetics and schizophrenia would be:
1. One single gene is responsible for producing schizophrenia. 2. There is strong evidence that environmental factors do not affect the risk of developing schizophrenia. 3. 10% of first degree relatives (children, siblings, parents) are diagnosed with schizophrenia at some point in their lives. 4. The chance of monozygotic (identical) twins both having schizophrenia is 100%.
The nurse is concerned that an elderly client is experiencing polypharmacy. Polypharmacy means the client:
a. uses several pharmacies. c. sees more than one doctor. b. takes many medications. d. has many ailments.
An 89-year-old is admitted to the medical-surgical floor. The nurse is formulating the client's plan of care. In assessing the client, which findings would be considered part of the clinical syn-drome of frailty? (Select all that apply.)
a. Increased appetite b. Weight loss c. Weakness d. Decreased sleep e. Slowed gait
A client is hospitalized with numerous acute health problems. According to Maslow's basic needs model, which nursing diagnosis should the nurse identify as being the highest priority for this client?
1. Risk for Injury related to unsteady gait 2. Altered Nutrition, Less Than Body Requirements related to inability to absorb nutrients 3. Self-Care Deficit related to weakness and debilitation 4. Powerlessness related to chronic disease state