A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone. His clothing is disheveled, his hair is uncombed and matted, and his body has a strange odor
During an interview, the client's family voices a desire for the client to live with them when he is discharged. Based on the assessment findings, which nursing diagnosis would be the priority?
A) Ineffective Role Performance related to symptoms of schizophrenia.
B) Social Isolation related to auditory hallucinations.
C) Dysfunctional Family Processes related to psychosis.
D) Bathing Self-Care Deficit related to symptoms of schizophrenia.
A
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A nurse is caring for a client with who is experiencing leukocytosis. When providing care to this client, which action by the nurse is the most appropriate?
A) Instruct the client on the use of an electric razor and soft toothbrush. B) Assess for bleeding and bruising. C) Assess for source of infection. D) Place the patient in reverse isolation precautions.
A nurse is assessing vital signs for a postpartum patient 48 hours after delivery. The vital signs are: T 101.2°F; HR 82; RR 18; BP 125/78 . How will the nurse interpret the vital signs?
A) Dehydration B) Normal vital signs C) Infection D) Shock
There are different types of skills that nurses use in the implementation of nursing care. Which is an example of interpersonal skills?
A) Administration of an injection B) Insertion of a urinary catheter C) Basic physical sciences D) Client encounters promoting development of a trusting relationship
The nurse is visiting the home of the client in response to the client's blood pressure, which has risen to 196/102. The home health care nurse has lost wireless connection to the Internet because the client lives in a rural area
What is a consequence of the lack of access to the Internet? 1. The nurse will be unable to assist the ambulance personnel as they try to navigate their way to the client's house. 2. The nurse will be unable to access the National Institutes of Health hypertension treatment guidelines. 3. The nurse will be unable to charge the client the appropriate amount for providing treatment. 4. The nurse's manager will be unable to use the client's information in a research study about hypertension.