The nurse is assessing a patient diagnosed with a personality disorder. Which question is most appropriate when assessing psychological domain?
a. How have you been feeling physically?
b. What close relationships do you enjoy?
c. How is your relationship with your parents?
d. Which coping strategies are the most useful for you?
d. Which coping strategies are the most useful for you?
While all of these questions are appropriate when assessing a patient diagnosed with a personality disorder, the question most appropriate for the psychological domain is asking which coping strategies the patient currently finds most useful. The other questions focus on the other wellness domains.
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A client tells the nurse that he knows he is overweight and has gotten used to being called fat. How an individual feels about the physical self is referred to as his:
a. personal identity. c. self-esteem. b. body image. d. role performance.
While performing a physical assessment, the nurse notices the client has a significant pallor. The nurse knows this is most likely due to which cause?
a. intravascular defects c. lack of production of RBCs b. infection d. tissue injury
While beginning assessment of a patient's abdomen, the nurse starts in the middle of the abdomen and expects to hear high-frequency sounds. What part of the stethoscope will provide the best sound with firm skin contact?
A) The bell B) The small side of the chestpiece C) The earpieces D) The diaphragm
The hospice nurse is making a home visit to a client with terminal cancer. The client reports poor pain control and the client's spouse says, "I'm giving such big doses of medication, I'm afraid she is going to overdose if I give her more." Which response by the nurse is the most appropriate?
1. "You're wise to be concerned. These are very strong medications you're administering." 2. "You want her to be comfortable but you don't want to endanger her life. Let's talk about the medication you're giving and warning signs you'll see if the dosage you're administering is too high." 3. "I hear what you're saying, but you're not giving enough pain medication, so she is in severe pain. You need to give more." 4. "You aren't giving adequate pain relief, and she is in severe pain as a result."