An alcoholic patient is brought to the inpatient psychiatric unit saying that he does not know where he is or what day it is. Because he has a heavy drinking history, you suspect that he is having:

1. delirium.
2. alcoholic dementia.
3. blackout.
4. amnesia.


3
Blackouts are common with heavy drinking over time. The patient data support that the memory loss is associated with the alcohol use, and blackouts would be an expected out-come.

PTS: 1 DIF: Cognitive Level: Analysis REF: 1267
OBJ: 2 TOP: Patterns and Consequences of Abuse
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

Nursing

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The Health Insurance Portability and Accountability Act (HIPAA) has identified eighteen personal health identifiers that need to be protected under this law. Which of the following is not one of these recognized personal health identifiers?

a. telephone numbers b. e-mail addresses c. hospital or facility admission dates d. number of items liked on Facebook or Pinterest

Nursing

The nurse administers the preoperative medication to the client 1 hour before elective surgery, and then discovers the preoperative consent is not signed. Which action by the nurse is the most appropriate?

1. Have the client sign the consent quickly, before the medication begins taking effect. 2. Have a family member or medical power of attorney sign the consent. 3. Send the client to the holding area without a signed consent. 4. Notify the health care provider that surgery will need to be canceled.

Nursing

Which of the following would be an acceptable community health diagnosis?

1. Risk for Injury related to lack of safebicycle paths in high-traffic areas 2. Ineffective Family Coping related tolack of time together 3. Alterations in Nutrition related to useof fast food restaurants 4. Ineffective Communication related tolack of community newsletter

Nursing

Which of the following patients, based on age, would require extra consideration when calculating medication dosages?

A. 70-year-old male B. 25-year-old female C. 40-year-old female D. 18-year-old male

Nursing