What is being assessed when a nurse asks a client to identify name, date, residential address, and situation?
1. Mood
2. Perception
3. Orientation
4. Affect
3
Rationale: The nurse should ask the client to identify name, date, residential address, and situation to assess the client's orientation. Assessment of the client's orientation to reality is part of a mental status evaluation.
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The nurse should recognize which acronym as representing problem-oriented charting?
1. SOAPIE 2. APIE 3. DAR 4. PQRST
What impact will the Affordable Care Act have on nursing homes and long-term care centers when fully implemented? (Select all that apply.)
a. A weaker consumer complaint system b. Better training for state inspectors c. Program to support national criminal background checks d. Public disclosure of nursing home owners and operators e. Training of nursing assistants in the care of people with dementia
Which patient assessment indicates hyperglycemia with TPN feeding?
a. Increase of urine output b. Sudden diarrhea c. Abdominal distention d. Tachycardia
The nurse caring for a patient with hypertensive crisis will place priority on:
1. suctioning secretions. 2. monitoring for seizure activity. 3. monitoring fluid volume. 4. preventing hyperthermia.