During the mental status assessment, the nurse hands the client a piece of paper that reads "Please raise your left hand." If the client follows the command, the nurse has just assessed which ability of the client?
a. Abstract thinking
b. Reading
c. General knowledge
d. Memory
B
This is an easy method of assessing the client's reading ability and is less anxiety provoking than having the client read aloud. Abstract thinking is assessed by methods such as assessing the ability of the client to understand similarities; general knowledge can be assessed by asking questions such as how many months are in a year or discussing current events; and memory can be assessed by testing immediate, recent, and remote memory.
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The nurse is reflecting on psychiatric nursing care in the 19th century. Which nursing diagnosis is most consistent with the focus of psychiatric nursing care during the 19th century?
1. Ineffective individual coping 2. Self-care deficit 3. Anxiety 4. Altered thought processes
The nurse anticipates that the client who rates pain as 10 on a scale of 1 to 10 has undergone which surgical procedure?
a. Cranial surgery b. Leg surgery c. Neck surgery d. Upper abdominal surgery
While assessing a client's breasts during her third trimester, the nurse would expect to find which of the following?
A) Breasts becoming soft B) Colostrum from the nipples C) Pink nipples D) Pain in the nipple area
You have been teaching the parents of a child with a history of sleep terrors. Which parent activity demonstrates understanding of your instructions?
1. locking all doors and windows 2. waking the child up when sleep terrors occur 3. ensuring that the child follows bedtime routines 4. giving the child a high-protein, high-fat snack just before bedtime