A client has blindness related to conversion disorder. To help the client eat, the nurse should
a. establish a "buddy" system with other clients who can feed the client at each
meal.
b. expect the client to feed self after explaining the arrangement of the food on the
tray.
c. see to the needs of other clients in the dining room, then feed this client.
d. direct the client to locate items on the tray independently and feed self unassisted.
ANS: B
The client is expected to maintain some level of independence by feeding self, while the nurse is
supportive in a matter-of-fact way. Options A and C support dependency. Option D offers little
support.
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The nurse caring for a client who is 24 hours post-extensive abdominal surgery assesses the client's pain. The client rates the pain as a 1 on the pain scale
The client is resting quietly, vital signs are within normal limits, and the client appears comfortable. The nurse concludes which of the following about this client? 1. The client is in denial. 2. The client is experiencing no pain. 3. The client has a high pain threshold. 4. The client is not admitting to the pain experienced.
A nurse is doing an assessment of a patient who has returned from a cardiac catheterization and had conscious sedation. Which finding should the nurse report?
a. Difficulty arousing the patient b. Blood pressure of 124/72 mm Hg c. Oxygen saturation of 96% d. Patient complaints of the need to void
The nurse tests the capillary refill on a client's lower extremity and notes that it takes 4 seconds for the color to return to baseline. It would be most important for the nurse to then check for
a. constricting clothing. b. other indicators of peripheral perfusion. c. presence of venous ulcers. d. prior surgery on this extremity.
The student nurse is beginning a clinical experience in an assisted living facility that serves a disabled population. Which statement indicates that the student understands the healthcare implications of disability?
A. "More of the clients are female than male because men with disabilities are more likely to be employed." B. "These disabled women will receive the same health care services that able-bodied people have." C. "Statistics indicate that women with disabilities earn the same as women without disabilities." D. "Disabled women are just as likely to face poverty as are men who have a disability."