The nurse is working in a clinic and sees a resident of a long-term-care facility, age 82 years, who has come in to be checked by her physician
The caregiver, who accompanies her, reports that the client has been displaying the following: drowsiness, excessive sleeping, decreased attention span, irritability, and signs of depression. The client's daughter and family, who usually visit her, moved away from the area six weeks ago due to the husband's job. You suspect which of the following problems?
A) Sensory deprivation
B) Disturbed sensory perception
C) Residential psychosis
D) Locked-in syndrome
Ans: A
Sensory deprivation results when a person experiences decreased sensory input or input that is monotonous, unpatterned, or meaningless. A client confined to bed rest may receive many fewer stimuli, whereas one undergoing multiple diagnostic tests may receive a greater-than-normal level of sensory input. These and other typical experiences are likely to result in disturbed sensory perceptions experienced by the client. Locked-in syndrome is a state of full consciousness; sleep–wake cycles are present; quadriplegic, auditory and visual function are preserved; emotion is preserved. Residential psychosis is not a real condition.
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In preparation for a transesophageal echocardiography, the nurse must:
A) Instruct the patient to drink 1 liter of water before the test. B) Heavily sedate the patient C) Inform the patient that blood pressure (BP) and electrocardiogram (ECG) monitoring will occur throughout the test. D) Inform the patient that an access line will be initiated in the femoral artery.
A patient who has cancer asks the nurse about using acupuncture to manage cancer pain. What will the nurse tell this patient?
a. "Acupuncture is not an effective treatment for cancer pain and should not be used." b. "Studies to date do not clearly indicate effectiveness of acupuncture for alleviat-ing cancer pain." c. "Transcutaneous electrical nerve stimula-tion (TENS) has been shown to be more effective than acupuncture." d. "There is good evidence to suggest that acupuncture is an effective adjunct treat-ment for cancer pain."
A client tells the nurse that he is committed to trying to quit smoking. When teaching the client about smoking cessation, which of the following would the nurse include?
A) Success usually involves more than one type of intervention. B) Relapse is fairly rare within the first year of quitting. C) Ear acupressure is a highly proven method for quitting. D) Education is key for smoking cessation.
Which action best demonstrates the importance of critical thinking on the practice of nursing?
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