Answer to Question 1
D
Interpreting abstract ideas or concepts, such as in explaining the meaning of this phrase, reflects the capacity for abstract thinking. The client with altered mentation will likely interpret the phrase literally or merely rephrase the words.
An example of assessing knowledge would be asking the client the reason for seeking health care. The example of the phrase in the question is not designed to measure knowledge.
The nurse is not attempting to measure judgement in this example. An example of assessing judgement would be to ask the client what he or she would do if he or she suddenly became ill when alone at home.
The nurse is not attempting to measure association in this example. An example of assessing as-sociation would be to ask the client to complete a phrase such as, A dog is to a beagle as a cat is to a _____.
Answer to Question 2
B
Feedback
A Incident is not the term used for an unexpected occurrence when using critical pathways.
B Critical pathways eliminate the need for nurses' notes, flow sheets, and nursing care plans because the pathway document integrates all relevant information. Unexpected occurrences, unmet goals, and interventions not specified within the clinical pathway time frame are called variances.
C Deviation is not the term used for an unexpected occurrence when using critical pathways.
D Charting by exception is a type of standardized charting and is not the term used for an unexpected occurrence when using critical pathways.
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Using small, circular strokes, exfoliate the client’s neck and back.
Testing patellar reflex, client in a supine position
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A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...