The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit. How should the nurse document this behavior?
a. Disordered thinking
b. Anhedonia
c. Hallucination
d. Alogia
ANS: C
A hallucination is a sensory experience without a stimulus trigger. Disordered thinking occurs when the individual is not able to interpret information being received in the brain. Anhedonia describes lack of expressed feelings. Alogia is reduced content of speech.
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The nurse is preparing a patient for discharge with a prescription for sucralfate (Carafate) and teaches the patient to take the medication when?
A) With meals B) With an antacid before breakfast C) 1 hour before or 2 hours after meals and at bedtime D) After each meal
A nurse performs tracheal suctioning in order to remove the liquid secretions of a client at a health care facility. What should the nurse do to ease the insertion of the tube below the client's larynx?
A) Advance the catheter 5 to 6 in. in the throat. B) Occlude the air vent and rotate the catheter. C) Advance the catheter 3 to 4 in. in the mouth. D) Wait until the client takes a breath before advancing the tubing.
Standardized terminology is requisite for: (Select all that apply.)
a. naming evidence. b. classifying evidence. c. tagging evidence. d. locating evidence. e. simplifying evidence.
Being a school nurse requires which combination of practice type and decision making?
A) Collaborative practice and interdependent decision making B) Autonomous practice and independent decision making C) Collaborative practice and dependent decision making D) Autonomous practice and interdependent decision making