Assessment of a client with schizophrenia reveals that he is hearing voices that tell him that people are staring at him and illusions. When developing the plan of care for this client, which nursing diagnosis would be most appropriate?
A) Disturbed thought processes
B) Risk for self-directed violence
C) Disturbed sensory perception
D) Ineffective coping
Question 2
A group of nursing students is reviewing information about sexual development. The students demonstrate understanding of the information when they describe biosexual identity as which of the following?
A) Conviction of belonging to the male or female gender
B) Outward expression of gender
C) Sexual attraction to opposite, same, or both sexes
D) Anatomic and physiologic state of being male or female
A hearing-impaired patient using an interpreter.
Measuring the client’s height with a platform scale
Testing client’s ability to identify dull sensation
Testing the Achilles tendon reflex with client in a supine position
Landmarks for urinary assessment: The costovertebral angle