During a session with a client who seems bewildered by his predicament, the nurse is conflicted
about whether to provide advice. The rule of thumb that should be followed is that giving advice to a
client
a. is rarely helpful.
b. fosters independence.
c. lifts the burden of personal decision making.
d. helps the client develop feelings of personal adequacy.
Question 2
A widow, aged 72 years, lives alone and is visited weekly by her son. She takes digoxin,
hydrochlorothiazide, and an antihypertensive drug. She also has a prescription for diazepam
(Valium) as needed for moderate to severe anxiety.
When the son visited today he found his mother
confused. Her speech was thick and slurred and she had an unsteady gait. She was taken to the
emergency department, and hospital admission followed. The nurse assessed the client as having
several cognitive problems, including memory and attention deficits and fluctuating levels of
orientation. The nurse confirms that the client's symptoms developed over a 2-day period. The
client's symptoms are most characteristic of
a. delirium.
b. dementia.
c. amnestic syndrome.
d. Alzheimer's disease.
Nurse Sandy
To increase pressure using body weight, lean on your client.
Removing the sheet from underneath the client.
Client files are kept in alphabetical order in locked file cabinets.
Measuring the client’s height with a platform scale
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...