A client has been receiving clozapine (Clozaril) for the treatment of schizophrenia. Which statement made by the client indicates the prescription is effective?
A. "I will start going to group therapy."
B. "I think I am ready for discharge, as I feel better."
C. "I am not hearing the voices anymore."
D. "I promise not to skip breakfast anymore."
Answer: C
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The nursing staff at a hospital is upset regarding nurse–client ratios. One of the nurses says, "Our contract is not being honored. I think we need to tear it up and strike, starting tomorrow
" Which response by the union representative is most appropriate? 1. "We can't strike until we have given administration 10 days' notice of our desire to change the contract." 2. "The FMCS (Federal Mediation and Conciliation Service) has to have 30 days' notice of our intent to strike." 3. "I have to let the medical chief of staff know we are going to strike at least 30 days before it happens." 4. "I have to meet with the Board of Directors and tell them 24 hours in advance."
Which nursing diagnosis would have priority for a laboring patient receiving intravenous oxytocin?
a. Risk for impaired comfort b. Risk for urinary retention c. Risk for nutrition, more than body requirements d. Risk for fluid volume excess
The nurse cares for a client who needs a PCA pump for control of postoperative pain. Which task can the nurse delegate to the unlicensed assistive personnel (UAP)?
A. Pushing the client button if the client is unable. B. Silencing the pump alarm while waiting for the nurse. C. Reporting specific client observations. D. Asking the client about level of pain.
The nurse is assessing a 15-month-old client. Which arterial site should the nurse use to assessing the pulse?
A. Apical site. B. Radial artery. C. Brachial artery. D. Carotid artery.