The nurse has written goals to guide a client's care. Which goal is most correctly stated?
a. The client will take his medications as ordered.
b. The client will be continent of urine for 24 hours within the next 2 weeks.
c. The client states he feels better.
d. The client understands his illness.
ANS: B
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To determine a patient's external variables for health beliefs and practices, which area should the nurse assess?
a. Emotional factors b. Intellectual background c. Developmental stage d. Socioeconomic factors
Which assessment finding in a client with severe dyspnea indicates to you that the respiratory problem is chronic?
A. Wheezing on exhalation B. Productive cough C. Clubbed fingers D. Cyanosis
A patient receiving total parenteral nutrition (TPN) begins having cough and dyspnea. The nurse auscultates rales and notes neck vein engorgement and weight gain. The nurse suspects that the patient is experiencing which condition?
a. Air embolism b. Fluid overload c. Pneumonia d. Pneumothorax
The patient tells the nurse, "I thought I was just depressed, but my doctor says I have bipolar disorder. What is that?" What is the best response by the nurse?
1. "Bipolar disorder is just another type of depression, except your depression occurs in cycles." 2. "Bipolar disorder is a type of depression that includes attention deficit disorder symptoms." 3. "Bipolar disorder just means that your mood alternates with the seasons, and it becomes worse in the winter." 4. "Bipolar disorder means you have cycles of depression as well as hyperactivity, or mania."