The nurse is caring for a young-adult patient on the medical-surgical unit. When doing midnight checks, the nurse observes the patient awake, putting a puzzle together
Which information will the nurse consider to best explain this finding?
a. The patient misses family and is lonely.
b. The patient was waiting to talk with the nurse.
c. The patient has been kept up with the noise on the unit.
d. The patient's sleep-wake cycle preference is late evening.
ANS: D
This patient is awake and alert enough to do a puzzle. The individual's sleep-wake preference is probably late evening. All persons have biological clocks that synchronize their sleep-wake cycle. This explains why some individuals fall asleep in the early evening, whereas others go to bed at midnight or early morning. Waiting to talk with the nurse, being lonely, and noise on the unit may contribute to lack of sleep, but the best explanation for the patient being awake is the biological clock.
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a. Speak loudly to ensure that the patient understands. b. Describe the food arrangement using the numbers on a clock. c. Tell the patient what is on the plate, assuming he has lost the sense of smell. d. Encourage the patient to eat faster so that the task will be done.
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a. "Adverse effects of the medication in-clude itching, burning, and erythema." b. "Apply the topical medication daily until at least 1 week after the rash is gone." c. "Your child will need to take this oral medication for 6 to 8 weeks." d. "You will use an antifungal shampoo to treat this infection."
A practicing nurse is interested in health care economics. To create an environment where health care more closely resembles the consumer market, this nurse would place high priority on activities revolving around
a. educating patients and families. b. exploring the costs of treatment. c. understanding payment options. d. using less expensive supplies.
The patient says, "My marriage is just great. My spouse and I always agree." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patient's communication is:
a. clear. b. mixed. c. precise. d. inadequate.