Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a car accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed with colon cancer
This information would be addressed in which DSM-IV axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
D
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When caring for a client recovering from a tonsillectomy, the nurse should monitor closely for which life-threatening complication?
1. Hemorrhage 2. Throat pain and headache 3. Temperature elevation of 100.6 °F 4. Nausea and vomiting
You are teaching the patient an activity they need to learn when this teaching session is over. What objective for this patient clarifies that learning has taken place?
1. The patient's face shows understanding while you are explaining. 2. The patient smiles after each instruction is given during the teaching session. 3. The patient describes the information at the end of the session. 4. The patient looks you directly in the face during the session.
When completing documentation on each client, the nurse recognizes that documentation serves what purposes? (Select all that apply.)
a. It communicates to others whether or not care was received. b. It conveys pertinent information about the client's condition and response to treatment interventions. c. It substantiates the quality of care by showing adherence to care standards. d. It provides evidence for reimbursement. e. It serves as a source of data that can be compiled or aggregated and then analyzed to establish "best practice" interventions. f. It is not a source for communicating care to others due to HIPAA rules and regulations.
Which of the following is a recommended guideline for applying a two-piece cervical collar on a patient?
A) Measure from the bottom of the chin to the top of the sternum, and measure around the neck. B) The left side of the collar should line up with the center of the patient's neck. C) Move the patient's head slightly to allow placement of the collar under the head. D) Be sure that the front half of the collar does not overlap the back half.