A nurse wants to assess an adult patient's recent memory. Which question would best yield the desired information?
a. "Where did you go to elementary school?"
b. "What did you have for breakfast this morning?"
c. "Can you name the current president of the United States?"
d. "A few minutes ago, I told you my name. Can you remember it?"
ANS: B
The patient's recall of a meal provides evidence of recent memory. Two incorrect responses are useful to assess immediate and remote memory. The other distracter assesses the patient's fund of knowledge.
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The nurse is presenting a program on surviving a fall at a senior center. Which statement indicates that the participant needs clarification of the content on emergency actions after a fall?
A) "I should crawl to a phone on the affected side to keep it stable against a hard surface." B) "I need to subscribe to an emergency call service like Lifeline." C) "To call for help, I can scoot on my bottom to a low wall-mounted phone." D) "If possible, I can crawl to a stairway and use the stairs to lift up to a standing position."
The nurse is reviewing the chart of an older adult client with acute renal failure. Which assessment finding is most likely?
1. Excoriated areas on the skin 2. Muscle weakness and cramping 3. +3 edema in the lower extremities 4. Weight loss of 13 pounds in a mont
An explosion just occurred at the local factory, and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation?
a. Autocratic b. Democratic c. Laissez-faire d. Referent
The nurse's role in the task group is to:
A) Encourage adaptive behavior. B) Facilitate appropriate interaction. C) Make therapy available to more people. D) Educate community members.