A female client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by her boyfriend. During the initial assessment interview, which assessment would be the priority?
A) Nutritional status
B) Hydration status
C) Sleep patterns
D) Suicide risk
D
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An adult client continues to request intravenous pain medications 4 days after being placed in skeletal traction due to a complex fracture of the hip
While giving report to the next shift, the nurse who cared for the client during the day states, "I just do not know why he still needs medication 4 days after surgery. The client we had last month with the same type situation did not need any medication after 2 days." Which response by a nursing peer is the best example of being a client advocate? 1. "I just think this client needs more because of his age." 2. "Have you tried getting the doctor to order oral pain medications to see if they work?" 3. "Wouldn't you want all of the pain medication you could have if you were in traction?" 4. "Everyone does not have the same pain perception or response to a similar injury."
The process based on an individual's biological growth, functional changes, and learning that applies to both physiologic and behavioral aspects of an individual is called:
a. adaptation c. growth b. development d. maturation
A patient admitted for injuries sustained while intoxicated has been hospitalized for 48 hours. The patient is now shaky, irritable, anxious, diaphoretic, and reports nightmares. The pulse rate is 130 beats/min
The patient shouts, "Bugs are crawling on my bed. I've got to get out of here.". Select the most accurate assessment of this situation. The patient: a. is attempting to obtain attention by manipulating staff. b. may have sustained a head injury before admission. c. has symptoms of alcohol-withdrawal delirium. d. is having an acute psychosis.
A woman is receiving physical therapy after surgery to repair a hip fracture. She tells the therapist before therapy begins that she expects therapy to be very painful. She rates her pain as 1 on a scale of 1 to 10 before therapy
Three minutes into the treatment session, the patient complains of excruciating pain rated as 10 and says she cannot tolerate exercise any longer. The therapist is concerned with the amount of pain, because severe pain is not expected during that form of exercise. The therapist considers the patient could be experiencing: a. Phantom limb pain b. Ineffective pain medication c. A nocebo effect d. A complication from the surgery