A patient has been newly diagnosed with AIDS. The patient is a 32-year-old mother of two young children. When the nurse is performing the patient's initial assessment, the patient expresses fear of dying
How should the nurse best respond to the patient?
A) "Would you like to talk to someone?"
B) "Everyone dies eventually."
C) "What concerns you most about death?"
D) "It's possible that you'll live for several years."
C
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A nurse is taking stock of the equipment and supplies kept in an infection control room that is currently occupied by a client with vancomycin-resistant enterococcus
Which of the following should the nurse avoid taking outside the client's room to prevent infection among the noninfected clients? A) Thermometer B) Full trash bags C) X-ray machine D) Sphygmomanometer
The nurse is caring for a patient with a Sengstaken-Blakemore tube. Which assessment finding should the nurse immediately report for follow-up?
1. left lower leg swollen and reddened 2. absent bowel sounds to lower-left quadrant 3. decreased level of consciousness 4. 3 cm darkened area on left heel
A client with schizophrenia has decided to develop an advance directive for future psychiatric care. What would be included in this document?
A) A list of persons who can make decisions on the client's behalf B) Do not resuscitate (DNR) requests C) Conditions under which life support will be discontinued D) A legal representative for power of attorney
The nurse has been talking with a client who has a delusion about being the President of the United States. One day a ward mate challenges him by saying, "If you were the President, you would not be here."
Shortly afterwards the nurse hears the client explaining that because of the Iraq war, the CIA has had to hide him in a psychiatric unit, so his enemies would not find him. The nurse should recognize which of the following in the client's statement? A) Delusions of control B) Systematized delusion C) Thought insertion D) Thought withdrawal