The nurse is preparing the care plan for a client with difficulty falling to sleep. Appropriate interventions to reduce environmental distractions in hospitals include:(Select all that apply) Standard Text: Select all that apply
1. Taking vital signs early in the evening
2. Closing the door of the client's room
3. Position dependent clients appropriately
4. Make nursing rounds in hallway
5. Assist client with voiding before bedtime
1,2
Rationale: Performing only essential nursing tasks during sleeping hours will decrease environmental distractions
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The nurse documents that the client's communication is congruent. What does this indicate?
1. The client's communication is therapeutic. 2. The client's nonverbal behaviors match the verbal message. 3. Nonverbal behaviors are expressed more strongly than the verbal message. 4. The verbal message is more important than the nonverbal message.
The nurse in the emergency department is currently triaging patients. Which of the following activities will this nurse be performing?
1. Determining the patients' urgency for care 2. Drawing serum laboratory samples 3. Starting intravenous access lines 4. Applying cardiac monitoring leads on patients
A patient newly diagnosed as HIV-positive seeks the nurse's advice on how to reduce the risk of infections. The patient says, "I used to go to church and I was in my best health then. Maybe I should start going to church again."
Which response will the nurse offer? a. "Religion does not usually affect health, but you were younger and stronger then." b. "Contact with supportive people at church might help, but religion itself is not especially helpful." c. "Studies show that spiritual practices can enhance immune system function and coping abilities." d. "Going to church would expose you to many potential infections. Let's think about some other options."
Which statement is accurate in reference to the use of antidepressants in a breast-feeding mother?
1. No drugs are safe for a breast-feeding mother and the baby. 2. MAOIs are the safest category for the patient population. 3. None of the SSRIs can be used in pregnant or breast-feeding women. 4. Desipramine and nortriptyline have been safely used.