You find your patient with antisocial personality disorder smoking in the lounge. Which response is best?
A.
Make a general overhead announcement about no smoking.
B.
Bring up the smoking issue at the next group session.
C.
Tell the patient directly he is not to be smoking here.
D.
Encourage the patient to identify why he has the need to smoke now.
ANS: C
This patient needs clear limits at the time of the infraction and it should be handled directly. Reponses A and B are indirect. Focusing on insight into why he smokes is not effective for patients with this disorder.
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You are the nurse caring for an elderly patient who is Asian-American who speaks little English. How would you assess this patient's pain?
A) Make a chart with English on one side and the patient's native language on the other so he can pick which word best describes his pain. B) Use the regular zero-to-ten pain scale C) Use the Faces Pain Scale D) Have a translator come in every time you assess the patient so you can document what the patient said
A parent of a newborn asks the nurse why a heel stick is being done on the baby to test for phenylketonuria (PKU). The nurse responds that
1. screening for PKU is required anddetection can be done before symptoms develop. 2. the infant has high-riskcharacteristics. 3. because the infant was born bycesarean,a PKU test is necessary. 4. because the infant was born byvaginal delivery,a PKU is recommended.
The nurse is instructing a group of health professionals about suicide. The nurse should instruct the professionals that in the United States, one contributing factor to the rising suicide rate among males is:
A) Substance abuse. B) Media influences. C) Lack of conflict resolution skills. D) Parenting practices.
A nurse is monitoring a client with deep vein thrombosis (DVT) for signs of pulmonary embolism. For which sign of DVT, the most common, does the nurse assess the client?
A. Cough B. Hemoptysis C. Diaphoresis D. Pleuritic chest pain