A nurse is assessing a child with increased intracranial pressure who has been exhibiting decorticate posturing. The nurse notes extension of the upper and lower extremities, with internal rotation of the upper arms and wrists and the knees and feet. The nurse determines that the child's condition:
A. Indicates improved neurological status
B. Indicates decreased intracranial pressure
C. Indicates deterioration in neurological function
D. Is unchanged from the previous neurological assessment
Ans: C. Indicates deterioration in neurological function
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Which statement explains the third stage of Rogers' (1995) innovation-diffusion model of research utilization?
1. This stage involves the nurse becoming aware of a research-based nursing intervention. 2. The nurse decides whether or not to adopt the new intervention. 3. The nurse actually puts into practice the intervention or uses the knowledge indirectly. 4. This stage involves the evaluation of the intervention for its effectiveness.
A patient, age 23, seeks care at the health clinic because he has developed a profuse, purulent urethral discharge, and urination is painful. During assessment of the patient, it is most important that the nurse gather information related to
a. all of his sexual contacts within the past year. b. a history of previous similar symptoms. c. a history of bladder infections or mumps affecting the testicles. d. a history of recent sexual contact with an individual with a sexually transmitted disease.
The nurse has recently set limits for a client with borderline personality disorder. The client tells the
nurse "You used to care about me. I thought you were wonderful. Now I can see I was mistaken. You're hateful.". This outburst can be assessed as a. splitting. b. denial. c. reaction formation. d. separation-individuation strategies.
Surgery done at once to save a person's life is:
a. Elective surgery b. Immediate surgery c. Urgent surgery d. Emergency surgery