The critical element a nurse must consider when completing a behavioral assessment of a patient with a mood disturbance is:
a. the level of anxiety present.
b. the degree of agitation noted.
c. the depth of depression reported.
d. a change in usual patterns and responses.
D
The key element is change. In depression, patients and family see the depression as a change from their usual selves. In mania, others note major changes in usual patterns and responses while patients may indicate they are more creative or active. Present anxiety again must be compared to a baseline level of anxiety.
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To keep the patient comfortable during a dressing change, the nurse may administer an analgesic:
a. after the dressing change. b. at least 15 minutes before the dressing change. c. at least 30 minutes before the dressing change. d. at least 1 hour before the dressing change.
The LPN/LVN has arrived at the patient's bedside with a unit of packed cells to be connected to an IV that is infusing. When the RN arrives, what is the first thing the nurses must do?
a. Do the checks to ensure that the donor and recipient numbers match according to policy. b. Leave the packed cells at the bedside until the saline is infused. c. Immediately hang the packed cells to get the infusion started. d. Check the patients ID bracelet and then hang the packed cells.
Families are subject to the tensions produced when stressors (family problems) penetrate their defense systems. The family assessment model that uses this systems approach is called
a. Family assessment intervention model b. Friedman family assessment model c. Genogram d. Ecomap
The nurse is educating a new colostomy client on gas-producing foods. Which food is a gas-producing food the client may choose to avoid?
A) Lettuce B) Rice C) Brussels sprouts D) Green peppers