How should the nurse approach a patient who has profound hearing loss?
a. Knock on the door before entering.
b. Touch the patient on the hand to gain attention.
c. Give the patient a list of interventions that the nurse plans to perform.
d. Speak in a higher tone of voice.
ANS: B
Touching on the hand to gain attention before giving care is thoughtful. Giving a lengthy list is not necessary. Knocking on the door may be futile, and speaking in higher tones is not helpful because the hearing-impaired lose the ability to hear high tones first.
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A patient who has been taking valproic acid (sodium valproate) for a seizure disorder is asking the nurse about getting pregnant. Why is pregnancy discouraged in women who are being treated for seizure disorders?
A) Seizure disorders are genetic. B) Seizure disorders are familial. C) Antiepilepsy drugs decrease fertility. D) Antiepilepsy drugs are teratogenic.
Generally, a great deal of effort and ability goes into taking a mental health assessment. What should be done with that information?
a. The information must be used on the patient's behalf b. The information should be used to further nursing research c. The information could be used as case studies in textbooks d. The information should be shared with family and friends of the patient in an open forum
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What will be an ideal response?
The nurse is caring for an older patient who is terminally ill and in the end stages of life. Which actions by the patient would the nurse anticipate? Select all that apply.
1. Asking an estranged brother to make a hospital visit. 2. Assigning a family member as executor of their estate. 3. Discussing pain management with their physician. 4. Voicing concerns of leaving behind loved ones after death. 5. Increasing the hours for private duty aid to assist with personal care needs.