While the nurse is taking the history of a 68-year-old patient who sustained a head injury 3 days earlier, he tells the nurse that he is on a cruise ship and is 30 years old. The nurse knows that this finding is indicative of a(n):
a. Great sense of humor.
b. Uncooperative behavior.
c. Inability to understand questions.
d. Decreased level of consciousness.
ANS: D
A change in consciousness may be subtle. The nurse should notice any decreasing level of consciousness, disorientation, memory loss, uncooperative behavior, or even complacency in a previously combative person. The other responses are incorrect.
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The nurse is caring for a newly deaf client who is learning to read lips. Which client statement indicates that additional teaching is needed?
a. "After I practice lip reading for a while, I won't need to worry about using sign language anymore." b. "I will have a harder time lip reading when I am not familiar with the topic of the conversation." c. "Focusing so much on lip reading will make me tired, so I will try to keep con-versations short." d. "I may not be able to lip read very well when the other person has a beard or when light in the room is inadequate."
A client and nurse are engaged in health education sessions. For successful and effective learning, the client and nurse must
A) Meet together and in separate sessions B) Be able to handle criticism in the learning C) Accept client and nurse as equal participants D) Assimilate and apply psychomotor concepts
Cataracts represent:
A) A chronic, painful, indolent ulcer that occurs in the absence of infection. B) Opacities in the lens of the eye that interfere with light transmission. C) Scar tissue on the cornea that interferes with light transmission. D) A membrane covering over the meshwork of the eye.
Which of the following statements are true related to teen pregnancies? (Select all that apply.)
a. Teen mothers are at higher risk for HIV. b. Teen mothers are at higher risk for hypertensive problems. c. The birth rate for teenaged women has increased in the past 15 years. d. Infants born to teen mothers are at higher risk for health problems.