NCLEX Unit 19
constipation and urinary retention
Psychomotor retardation and side effects of medication can cause this?
open ended questions and silence; allows the client to discuss the problem
The nurse is assigned to care for a client experiencing disturbed thought processes. The nurse is told that the client believes that the food is being poisoned. Which communication technique should the nurse plan to use to encourage the client to eat?
tasks of termination
include evaluating client performance, evaluating achievement of expected outcomes, evaluating future needs, making appropriate referrals, and dealing with the common behaviors associated with termination
denial
refusal to admit to a painful reality and is treated as if it does not exist
ill fitting clothes
these could be a sign of nutrition deficiency; needs further data collection
"Are you fearful and think that others may want to hurt you?"; recognizes the client's needs
Laboratory work is prescribed for a client who has been experiencing delusions. When the laboratory technician approaches the client to obtain a specimen of the client's blood, the client begins to shout, "You're all vampires. Let me out of here!" The nurse present at the time should respond by stating which?