The nurse is caring for Mr. Smith, a client diagnosed with delirium who has been brought for treatment by his son. While taking the client's history, the nurse should ask the client's son:
A) Has your father taken any medications recently?
B) Are you aware of your father falling or injuring his head in any way?
C) Has your father suffered a recent stroke?
D) Has your father experienced any major losses recently?
Question 2
A client with bipolar disorder is admitted to the psychiatric unit. The client is talking loudly, walking back and forth rapidly, and exhibiting a short attention span. Which of the following would the nurse do first?
A) Decrease the client's environmental stimuli.
B) Give the client feedback about his behavior.
C) Introduce the client to other staff on the unit.
D) Tell the client about hospital rules and policies.
NUrse
Weber test: Place the base of the tuning fork on top of the client’s head.
nurse
Example of simplified note for one-time client.
Building a Client Base Cont.
Measuring the client’s weight with a standard platform scale