While assessing a client, the nurse determines that the client has the capacity to perceive sensory impressions and react appropriately through thoughts and actions. This ability is called:
a. affect. c. awareness.
b. judgment. d. kinesthesia.
ANS: C
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A child will be hospitalized in the following week. In order to decrease the child's and parents' stress related to the hospitalization, which action by the clinic nurse would be most helpful?
A. Arrange for the family to visit the hospital and have a tour. B. Give the family written information on visiting hours. C. Introduce the family to another family whose child is hospitalized. D. Suggest the family "take a break" and not stay with the child.
The charge nurse is caring for a patient recently diagnosed with an anxiety disorder. The patient has an identical twin. The nurse knows that which condition increases the likelihood that the undiagnosed twin will suffer from the same disorder?
Select all that apply. 1. Genetics 2. Environment 3. Shared trauma 4. Psychological influences 5. Developmental influences
Maternity nurses often have to answer questions about the many, sometimes unusual, ways people have tried to make the birthing experience more comfortable. For instance, nurses should be aware that:
a. Music supplied by the support person has to be discouraged because it could dis-turb others or upset the hospital routine. b. Women in labor can benefit from sitting in a bathtub, but they must limit immer-sion to no longer than 15 minutes at a time. c. Effleurage is permissible, but counterpressure is almost always counterproductive. d. Electrodes attached to either side of the spine to provide high-intensity electrical impulses facilitate the release of endorphins.
An advanced practice nurse (in a state where the nurse can sign the first certification for an emergency commitment) evaluates a client for emergency commitment because of the likelihood the client will do serious harm to others
The client threatened to kill her mother, who she thinks is "against her." In assessing the need for commitment, what opening would be most facilitative? 1. "Tell me about your delusions." 2. "I understand you have had some difficulty today." 3. "You have threatened your mother. Tell me why." 4. "Because you threatened your mother, you are going to have to go to the hospi-tal."