GENERALSOLUTIONS 101

Question 1 1 / 1 pts A client with schizophrenia says, “I’m away for the day ... but don’t think we should play … or do we have feet of clay?” Which alteration in the client’s speech does the nurse document? Neologism Word salad Correct! Clang association Associative looseness Rationale: Clang association is the meaningless rhyming of words in which the rhyming is more important than the context of the words. A neologism is a made-up wor...

Question 1 1 / 1 pts The mother of a 3-year-old child tells the nurse that her child hit her doll after the mother scolded her for picking the neighbors’ flowers. Which defense mechanism used by the child does the nurse identify in the mother’s report? Projection Sublimation Correct! Displacement Identification Rationale: The defense mechanism of displacement involves the discharge of intense feelings for one person onto a substitute person or o...

A nurse is providing information to a group of pregnant clients and their partners about the psychosocial development of an infant. Using Erikson’s theory of psychosocial development, the nurse tells the group that infants have which developmental need? Correct! Need to rely on the fact that their needs will be met Must have needs ignored for short periods to develop a healthy personality

the client’s current and past state of health and forms a baseline against which all future changes can be measured. The complete database is collected in a primary care setting, such as a pediatric or family practice clinic; an independent or group private practice; a college health service; a women’s health care agency; a visiting nurse agency; or a community health agency. An episodic database is compiled for a limited or short-term problem and is focused mainly on one problem or one body...

1. A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station. The nurse sees no electrocardiographic complexes on the screen. The nurse should do which first? 2. The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation? 3. 3) The LPN/LVN in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachyc...

1. Following the death of a day-old infant, the nurse brings the baby to the parents. What is the rationale for the parents’ visit with the deceased baby? 2. After a health care provider in the emergency department has pronounced a 2- year-old dead following a swimming pool accident, the mother tearfully says to the father, “I am so sorry. I am so sorry.” What is the mother expressing? 3. What is the final stage of human growth and development?

When caring for an elderly patient who is intermittently confused, what is the nurse’s primary concern regarding fluid and electrolytes? A pregnant patient is admitted with excessive thirst, increased urination, and a medical diagnosis of diabetes insipidus. The nurse chooses which nursing diagnosis as most appropriate?

• Example of infectious reservoir • Insect • Highest risk for infections? • 90 year old • Example of localized infection • Redness • Hospital acquired surgical infection common cause? • Staphylococcus aureus • Soap & water kills? • C. Diff • Red man syndrome? • Vancomycin • Precautions when dealing with splattering body fluids? • Face shield • Indirect transmission example? • Infected person touches an object another person goes behind them and touc...

• Nursing care for chest tube drainage- The drainage system must always be kept upright and below the level of the chest to prevent backflow. • Vigorous bubbling in the water sealed chamber of chest drainage- may indicate a large air leak. Examine the entire system and tubing for air leaks and anticipate changing the whole tubing. • Suctioning Trach- MAX TIME IS 15 SECONDS OR LESS! (10 secs would be correct) • Alarms for ventilators- 1st thing to do is ASSESS the patient. o High pres...

Which of the following is an age-related change of the NS? Which of the following is an age-related change of the CVS? Which of the following is an age-related change of the respiratory system? Which of the following is an age-related change of the Musculoskeletal System? system? Which of the following is an age-related change of the female reproductive