A toddler's nonverbal communication that consists of looking at or pointing to desired objects or holding out a hand for food is known as action language
Indicate whether this statement is true or false.
True
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An older woman with dementia exhibits new behaviors including crying and repeatedly verbalizing the same phrase; further, the behavior has increased over 2 days. Which intervention should the nurse implement in response to this behavior?
a. Tell her you will remember what she says if she stops crying. b. Attribute these findings to a deterioration in cognitive function. c. Check the medication administration record for missed doses. d. Present probing questions to the patient about her behavior.
An older adult is planning to move to an assisted living facility. What advice does the nurse provide to the adult children?
a. "Let your father choose what items to take with him." b. "Warn your dad there will be little room for personal things." c. "It is best to pick your dad up one day and move him in." d. "Be aware your dad may suffer from de-pression or confusion."
Your trauma patient has no auscultated breath sounds in the right lung field. You can hear adequate sounds on the left side. A likely cause of this abnormality could be that the patient:
a. has a closed head injury. b. has fluid in the pleural space. c. is moaning and in severe pain. d. is receiving high-flow oxygen.
A highly agitated client paces the unit and states, "I could buy and sell this place." The client's mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate documentation of this client's behavior?
A. "Rates mood 8/10. Exhibiting looseness of association. Euphoric." B. "Mood euthymic. Exhibiting magical thinking. Restless." C. "Mood labile. Exhibiting delusions of reference. Hyperactive." D. "Agitated and pacing. Exhibiting grandiosity. Mood labile."