The nurse is assessing a client who has borderline personality disorder. A priority assessment for the nurse is of the client's:
A) Nutrition patterns.
B) Personal hygiene practices.
C) Physical functioning.
D) Somatic complaints.
A
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A patient calls the clinic to talk to the nurse. The patient states that he or she saw the physician "last week" and was prescribed penicillin for a strep throat
The patient goes on to say that they feel so much better they stopped taking the drug "today," even though there are "a few pills left." What is the nurse's best response? A) "Okay, thank you for letting me know. I will document in your medical record that the treatment was effective." B) "It is important that you take all the medication so all the germs are killed. Otherwise they could come right back and be even stronger." C) "What you have described is the halo effect of the drug, making you feel better when you are still infected. You'll feel sick again when the drug is out of your system." D) "You will need to come to the clinic and be evaluated by your physician to make sure the infection is really gone."
A registered nurse is providing care for a client who lived alone prior to hospitalization. The client's functional status has changed to the point of being unable to live alone anymore
The client is considering moving into an extended care facility. After communicating this information to the charge nurse of the unit where team nursing is practiced, the charge nurse would: 1. Assist the registered nurse in setting up a multidisciplinary conference to discuss the discharge needs of the client. 2. Assist the registered nurse in getting a case manager involved in the discharge process for the client. 3. Assume the responsibility for discharge planning for the client. 4. Assume responsibility for the care of the registered nurse's patients to allow for direct communication by the registered nurse with the client's health care provider.
A nurse is working with an older adult client, educating the client on how to ambulate with the aid of a walker. The nurse notes that the client appears to lack the motivation to learn how to use device. The client states, "I'm just too old to learn
A) Tell the client how to move the walker as he ambulates. B) Explain how the walker supports the client's lower extremities C) Fully discuss the rationale for using the walker. D) Describe how the walker can improve the client's quality of life.
The nurse is reinforcing teaching for a patient who had a large portion of the stomach removed
Which of the following conditions, if stated by the patient, would indicate a correct understanding of why there usually is a need to receive vitamin B12 for life? a. Acquired hemolytic anemia b. Iron-deficiency anemia c. Pernicious anemia d. Sickle cell anemia