Solutions, and Verified Screenshots
A daughter gained weight because she is under so much stress deciding whether to send dad to nursing
home or her home. What should the PN do? - AnswerOffer to assist her in examining the pros and cons
of the choices for him
A man complains of decrease concentration at work, tired during day, sleeps four to five hours at night.
What should the PN ask? - AnswerDo you often feel sad.
A PN attempts to assist an 18 year old female with mild mental disability to ambulate first day post op
after appendectomy. She refuses. What should you tell her? - AnswerI'll be back in 30 minutes to get
you out of bed and walk around the room today.
A CLIENT IS DIAGNOSED WITH TERMINAL CANCER, THE DOCTOR TOLD ME I HAVE CANCER.I DO NOT
HAVE LONG TO LIVE.WHICH RESPONSE SHOULD THE PN OFFER? - AnswerYES, YOUR CONDITION IS
SERIOUS.
WHILE CONDUCTING A MENTAL STATUS EXAMINATION OF A NEWLY ADMITTED MALE CLIENT HEAD
LOWERED AND STARES AT HIS HANDS BASED ON THIS OBSERVATION WHAT SHOULD THE PN RESPOND?
- AnswerHOW ARE YOU FEELING TODAY
ALCOHOLIC ADMITTED TO THE HOSPITAL WITH EARLY STAGE OF CIRRHOSIS OF THE LIVER, HE TELLS THE
PN THAT HE KNOWS HE CAN NOT STOP DRINKING WHAT RESPONSES IS BEST TO PROVIDE - AnswerTELL
ME WHAT YOU THINK WILL HAPPEN TO YOU IF YOU DO CONTINUE TO DRINK
A 4 YEAR OLD IS BROUGHT TO THE CLINIC WITH A FRACTURED ARM.WHICH INFORMATION SHOULD BE
A BASIS FOR THE PRACTICAL NURSE TO SUSPECT CHILD ABUSE - AnswerTHE CHILD HAS HAD 4 PREVIOUS
VISITS TO 3 NUMBER OF EMERGENCY DEPARTMENT
, NURSING MEASURE FOR VICODIN - AnswerOBSERVE THE CLIENT FOR FURTHER NARCOTIC EFFECTS
OLDER CLIENT BECOME DISORIENTED AND CONFUSED. SIGNS OF LEFT EXTREMITY WEAKNESS BUT NO
NEURO CHANGES. - AnswerCALL AN AMBULANCE TO TAKE THE CLIENT TO THE HOSPITAL
HALDOL INCREASE TEMP: 104 F AND MUSCULAR RIGIDITY - AnswerCALL AN AMBULANCE
ALZHEIMER'S PATIENT ADMITTED TO AN EXTENDED CARE FACILITY. WHAT SHOULD YOU DO? -
AnswerPLAN TO HAVE THE SAME NURSING STAFF PROVIDE CARE FOR THE CLIENT WHENEVER POSSIBLE
A FEMALE CLIENT COULD NOT SLEEP LAST NIGHT BECAUSE SHE IS UNHAPPY IN HER JOB.WHAT TYPE OF
THOUGHTS IS THE CLIENT HAVING - AnswerOBSESSIVE THOUGHT THAT THE CLIENT IS UNABLE TO
CONTROL
Alcohol withdrawal-hospitalization - AnswerAlcohol detoxification precipitates a withdrawal syndrome
that includes neurological and cardiovascular changes that require constant monitoring and medical
management to safely move the client to an alcohol-free physiology. The other responses are ineffective
and may contribute to the client's defensiveness.
Depression-1st priority - AnswerMaslow's hierarchy or needs begins with ensuring physiologic needs
and safety as primary needs. The priority investigation is to provide a safe stable, and predictable
routine that will meet the client's basic needs. The other actions are indicated, but first an environment
that is predictable should be ensured to facilitate the client's participation in self care.
Abuse-spousal - AnswerThe PN should ask a direct question that is supportive and nonjudgmental, and
the best approach is the question, is someone hurting you? The other questions are probing and
judgmental and are not the best approach to sensitive information.
Stress-decision conflict - AnswerThe daughter is reporting stress-induced behavior from a decisional
conflict. It is most helpful for the PN to implement actions directed toward resolution of the conflict, and
offer to assist in examining the pros and cons of the choices. The other actions are less helpful in
resolving the daughter's conflict about her father's placement.