The nurse assesses a patient's judgment by asking:

a. "Why did you run away?"
b. "When did you first start hearing voices?"
c. "What would you do if you smelled smoke in your home?"
d. "Do you believe you hear voices, or do you think it is in your mind?"


ANS: C
Judgment is the ability to assess and evaluate situations, make rational decisions, understand consequences of behavior, and take responsibility for actions. Judgment may be assessed by asking a question that has a common-sense answer. The other options ask about motivation, elicits historical information about the illness or seeks information about insight.

Nursing

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A nurse is providing patient education to a client who will soon begin taking levothyroxine for the first time. Which of the following teaching points should then nurse include in this education session?

A) "You'll most likely take this drug for the rest of your life." B) "I'll help you arrange to come to an outpatient clinic for IV administration of levothyroxine." C) "You'll need to take this drug one hour before eating or at least two hours after eating." D) "I'll teach you how to check your blood sugar levels for the first few weeks that you take the drug."

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A breastfeeding postpartum patient reports sore nipples to the nurse during a home visit. The intervention with the highest priority is:

1. Infant positioning. 2. Use of the breast shield. 3. Use of breast pads. 4. Type of soap used.

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The nurse is planning care for a preschool-age client who has cerebral palsy (CP). Which interventions are appropriate for this client?

1. Providing heath supervision 2. Collaborating with physical therapy 3. Assisting with planning educational services 4. Prescribing medication for spasticity 5. Promoting growth and development

Nursing

In 2006, what accounted for the largest share of total health care expenditures in Canada?

a. Remuneration for physicians b. Drug costs c. Unregulated health care professional salaries d. Hospitals and other health care institutions

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