Which assessment finding(s) might suggest that the patient has low self-esteem and requires more in-depth assessment? Choose all that apply.
1) Infrequent eye contact
2) Straight posture
3) Overly critical of others
4) Careful grooming
Question 2
An elderly patient admitted from a skilled nursing residence to a medical-surgical unit is exhibiting confusion, distractibility, memory loss, and irritability. She has a medical diagnosis of dehydration.
Which of the following should lead the nurse to suspect that dementia, rather than depression or dehydration, is the source of the symptoms: The history and nursing observations indicate that the patient
1) Rambles, speaks incoherently, answers questions inappropriately.
2) Speaks slowly with delayed response to questions, but responds appropriately.
3) Awakens early in the day yet sleeps almost constantly during the day.
4) Sometimes has difficulty concentrating on details of the present situation
The nurse conducts the health history as the first step in the nursing assessment
It is important to act concerned when a patient is upset.
Preparing the Patient’s Skin for Surgical Procedures
Gingival enlargement in a patient taking phenytoin.
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1)