The desired outcome for a patient experiencing insomnia is, “Patient will sleep for a minimum of 5 hours nightly within 7 days.” At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse’s next action?
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While talking with a patient diagnosed with major depression…
While talking with a patient diagnosed with major depression, a nurse notices the patient is unable to maintain eye contact. The patient’s chin lowers to the chest, while the patient looks at the floor. Which aspect of communication has the nurse assessed?
A college student said, “Most of the time I’m happy and feel…
A college student said, “Most of the time I’m happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it.” Which number on this mental health continuum should the nurse select? Mental Illness Mental Health 1 2 3 4 5
A nurse receives these three phone calls regarding a newly a…
A nurse receives these three phone calls regarding a newly admitted patient.• The psychiatrist wants to complete an initial assessment.• An internist wants to perform a physical examination.• The patient’s attorney wants an appointment with the patient.The nurse schedules the activities for the patient. Which role has the nurse fulfilled?
At what point in an assessment interview would a nurse ask,…
At what point in an assessment interview would a nurse ask, “How does your faith help you in stressful situations?” During the assessment of:
Which of the following should the nurse assess in the patien…
Which of the following should the nurse assess in the patient with osteoarthritis?
A patient diagnosed with schizophrenia had an exacerbation r…
A patient diagnosed with schizophrenia had an exacerbation related to medication noncompliance and was hospitalized for 5 days. The patient’s thoughts are now more organized, and discharge is planned. The patient’s family says, “It’s too soon for discharge. We will just go through all this again.” The nurse should:
A child was placed in a foster home after being removed from…
A child was placed in a foster home after being removed from abusive parents. The child is apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to help the child. Which interventions should the nurse suggest? Select all that apply.
A nurse supports a parent for praising a child behaving in a…
A nurse supports a parent for praising a child behaving in a helpful way. When this child behaves with politeness and helpfulness in adulthood, which feeling will most likely result?
A patient says to the nurse, “My father has been dead for ov…
A patient says to the nurse, “My father has been dead for over 10 years, but talking to you is almost as comforting as the talks he and I had when I was a child.” Which term applies to the patient’s comment?