Which symptom should a nurse identify that differentiates clients diagnosed with NCDs from clients diagnosed with mood disorders?
1. Altered sleep
2. Altered concentration
3. Impaired memory
4. Impaired psychomotor activity
3
Rationale: The nurse should identify that impaired memory is a symptom that occurs in NCD and not in mood disorders. Neurocognitive disorder is classified in the DSM-5 as either mild or major, with the distinction primarily being one of severity of symptomatology.
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The nurse admits a client at 2 a.m. with a history of Addison's disease. After calling the physician and receiving an order for daily cortisone, the nurse learns that the client "ran out of steroid medication two days ago
" The client says he is fine but that he feels weak. The nurse's priority action is to: 1. Wait until morning to give the ordered cortisone preparation. 2. Administer the cortisone preparation immediately. 3. Call the physician immediately and advise him of the missed cortisone. 4. Place a note on the chart for the physician to see in the morning about the missed dosages of cortisone.
The nurse is caring for a patient who suffered a stroke on the right side of the brain. The nurse is careful to implement what safety measures? (Select all that apply.)
a. "Make sure to put a picture board in the room to communicate with the patient." b. "Place the call light on the patient's left side." c. "Leave on a light in the bathroom at night for good visibility." d. "Place the call light on the patient's right side." e. "Make sure there are no trip hazards in the patient's room."
The nurse is preparing a client with osteomyelitis of the left tibia for discharge. The nurse stresses the importance of which of the following pieces of information?
1. "You can start to do light weight bearing on the leg in 1 week." 2. "You can apply heat to the leg if you are having a lot of pain and discomfort." 3. "You will need to continue to take antibiotics for another 4-8 weeks." 4. "Be sure to do active range-of-motion (ROM) exercises to the left leg daily."
How would the nurse explain how acute care nursing is different from community-based care?
1. Acute care focuses on short-term nursing interventions. 2. In acute care, illness is seen as a part of living. 3. The purpose of acute care is to improve functional capacity and quality of life. 4. Nursing autonomy is greater in acute care practice.