Foundations final review

A worried mother confides in the nurse that she wants to change primary health care providers(HCP's) because her infant is not getting better. What's the nurses best response?

"You always have an option to change. Tell me about your concerns."

Which of the following best describes acute illness?

A rapid onset of symptoms lasting a relatively short time.

An acute Illness

A rapid onset of symptoms that last a relatively short time indicates what health problem?

You are the nurse caring for an elderly patient who is confused and agitated. When the patients' family comes to visit the patient you ask them how long the patient has been confused. The family states that the patient has been confused for a long time and the confusion is getting worse. The patient is subsequently diagnosed with dementia. What is he most common cause of dementia in an elderly patient?

Alzheimer's disease.

An exacerbation refers to the deactivation of a disease. Which of the following conditions is associated with exacerbation?

Chronic illness

Which of the following statements is true of factors that influence communication?

Culture and lifestyle influence the communication process.

The nurse who works with elderly patients diagnosed with Alzheimer's disease recognizes that there are various symptoms of dementia and confusion including sundowning syndrome. The nurse recognizes sundowning syndrome as:

Habitual increase in confusion, restlessness, and agitation after dark.

During a health history, the nurse notices that a client is watching the nurse's face intently and leaning in closer with each question asked. As the nurse becomes aware of such behaviors, she will inquire about which possible client impairment?

Hearing loss

The nurse is conducting a mental status examination on a client with a cognitive disorder. Which finding does the nurse judge to be an impairment in abstract thinking?

Inability to find similarity between a bird and a butterfly.

A client has just undergone bronchoscopy. Which nursing assessment is most important at this time?

Level of consciousness (LOC).

The nurse is caring for an elderly postoperative critical care client. The nurse finds that the client is acutely confused and trying to get out of bed. Which of the following should the nurse do first?

Review with the client that he is in the hospital.

A client comes into the urgent care center to have sutures removed on his right arm. The nurse assessed the sutures and finds significant crusting along the suture line. The client indicates that he didn't have time to get his sutures removed a week prior as directed. The nurse soaks the crust and attempts to remove the sutures. As the nurse attempts suture removal, the client frequently pulls his arm away and tells the nurse, "you don't know what you are doing." In response, the nurse should answer:

Sir, I understand that this is uncomfortable but i assure you I am experienced with this task and would like to continue.

A hospitalized patient asks the nurse for "some aspirin for my headache". There is no order for aspirin for this patient. What will the nurse do?

State that an order from the doctor is legally required and check with the doctor.

A client arrives at a health care facility complaining of pain in the abdomen and diarrhea. The physician diagnoses the client with colitis, an acute illness. Why is colitis considered acute?

The onset is sudden.