During the first interview, a nurse notices that a patient does not make eye contact. Which analysis is correct?
a. The patient is not truthful and is demonstrating evasive behavior.
b. The patient is shy. The nurse should progress slowly.
c. The patient feels sad and cannot look at the nurse.
d. More information is needed to draw a conclusion.
D
The data presented are insufficient to draw a conclusion. The nurse must continue to gather information.
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What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?
a. Specific to general b. Proximodistal c. Cephalocaudal d. General to specific
The nurse is planning to instruct a new mother on ways to prevent hypothermia in her newborn. What should this teaching include?
Select all that apply. A) Expect the baby to shiver. B) Keep the newborn's head covered. C) Cover the newborn with a light sheet during afternoon naps. D) Notice changes in the baby's respirations and take the appropriate action. E) Cover the newborn with minimal blankets when out of doors in temperatures in the 50s.
You are the nurse caring for patients in the urology clinic. A new patient, 68 years old, presents with complaints of urinary incontinence
An anticholinergic is prescribed. Why might this type of medication be an inappropriate choice in the elderly population? A) Gastrointestinal hypermobility can be an adverse effect of this medication. B) Detrusor instability can be an adverse effect of this medication. C) Confusion can be an adverse effect of this medication. D) Increased symptoms of urge incontinence can be an adverse effect of this medication.
The nurse working in a surgeon's office is providing preoperative teaching to a patient who is scheduled for a needle breast biopsy. Which statement by the patient demonstrates a need for further preoperative teaching? (Select all that apply.)
a. "This procedure will help the doctor de-termine if I have breast cancer." b. "I will most likely have general anesthesia since this is a painful procedure." c. "The surgeon will need to perform this procedure within the next 24 to 48 hours." d. "I will have less breast pain after having this procedure performed." e. "I will not require any further treatment after this procedure is performed."