The health care provider documents in a client's medical record the statement "bizarre gesturing, decline in hygiene, and command hallucinations." Which action is most important for the nurse to take when caring for this client?
1. Note the quality and duration of the gestures.
2. Offer the client a fresh change of clothing.
3. Ask the client what the voices are saying.
4. Administer antipsychotic medication.

Answers

Answer 1

Answer:

The correct answer would be - option 3.

Explanation:

The client is experiencing a psychotic problem characterized by the weird gestures, bad hygiene and hallucination about commands or the voices. The nurse should work on the various aspects however the safety should be most important and priority.

If the bizarre gesture is obvious there is finding new symptoms are meaningless by noting the quality and time of gestures. Hygiene is essential but safety should be priority so asking about the voice commands and analyzing risk is most important.

Thus, the correct answer is - option 3.


Related Questions

Which statement about these two restaurant meals is correct?
A. Neither meal contains any nutrients.
B. Meal A is the more healthful choice.
C. Meal B is the more healthful choice.
D. Both meals are healthful choices.​

Answers

D - both meals are healthful choices

 The truth is that eating out regularly at fast food restaurants is extremely difficult to maintain a healthy diet.

 Fast food is typically loaded with calories, sodium, and unhealthy fat often enough in one meal to last a day. It also tends to be nutrient poor and is almost entirely lacking in fruits, vegetables, and fiber.

What do nutrition means?

Nutrition is about a healthy and balanced diet. Food and drink provide the energy and nutrients you need to be healthy. Understanding these nutrition terms can make it easier for you to make better food choices.

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Your 3rd grade lunch buddy is willing to take a container of apple sauce from your lunch box in exchange for something in his or her lunch box. Your options are: Food item Value to you in number of applesauce containers 1 orange 1 applesauce container 1 Jello cube (lime flavored) 1.5 applesauce containers 1 cookie 2 applesauce containers. Which should you choose to maximize your utility? a. the orange b. the Jello cube c. the cookie d. None of the above; you will be happiest eating your applesauce.

Answers

Answer:

The correct answer would be - option C.

Explanation:

As it is clearly stated that value of the food items in comparison to the apple sauce container as follow :

1 orange = 1 applesauce container

1 Jello cube (lime flavored) = 1.5 applesauce containers

1 cookie = 2 applesauce containers

In the question i is asked that which option you should choose to maximize utility, on the basis of food value one can easily say that 1 cookie has more food value and it will definitely increase the utility more than any other so answer should be cookie.

Thus, the correct answer is - option C.

To maximize your utility, you should choose the cookie, as it is worth 2 applesauce containers, making it the most valuable option to you.

The question is: Which should you choose to maximize your utility? Your options are:

1 orange = 1 applesauce container1 Jello cube (lime flavored) = 1.5 applesauce containers1 cookie = 2 applesauce containers

To maximize your utility, you should choose the item that you value the most in terms of number of applesauce containers.
Here’s the value to you for each option:

An orange is worth 1 applesauce container.A Jello cube is worth 1.5 applesauce containers.A cookie is worth 2 applesauce containers.

Since the cookie is worth the most to you (2 applesauce containers), you should choose the cookie to maximize your utility.

In a noisy room a sleeping newborn initially startles and exhibits rapid movements; however, the baby soon goes back to sleep. What is the most appropriate nursing action in response to this behavior?
1. Documenting an intact reflex.2. Assessing the infant's vital signs.3. Testing the infant's ability to hear.4. Stimulating the infant's respirations.

Answers

Answer:

Documenting an intact reflex.

Explanation:

Reflex action may be defined as the sudden change in the action against the stimulation. This might cause the muscle contraction and the movement of the particular body parts.

The first response describe in the question is the startle reflex that might result in the decrease in the stimulus due to its repetition. Initially, the response is rapid but later decreases. This is known as habituation and quite important to understand the behavior of the infant.

Thus, the correct answer is option (1).

Answer:

The correct answer would be option A.

Explanation:

The primary response in this case by nurse should be observing the reflection of the startle reflexes that is is the brainstem reflectory reaction, that shows the rapid and random moments, when there is repetitive stimulus present.

So, the correct response would be documenting the intact reflexes. Habituation is known as the lowering in response, it is not necessary as it is noisy room and infants response is on the noise.

Thus, the correct answer is - option A.

The nurse is teaching a group of school age children about physical development. Which statement made by one of the children indicates the correct understanding of the teaching?
A. My body weight will be almost triple in the next few years.B. I will grow an average of 2 inches per year from this point on.C. There are not that many physical differences among school-age children.D. I will have a gradual increase in fat, which may contribute to a heavier appearance.

Answers

Answer:

I will grow an average of 2 inches per year from this point on.

Explanation:

The physical development is important to give information about the physical health and the importance of exercise among the children. This includes the overall growth and development of the student children.

The growth of the height and weight is quite slow in the middle childhood. The children shows the growth of two inches between the 6 to 12 year of the age. The weight of the child will increase up to double during the middle childhood. The end of middle childhood is marked by the increase in height and weight of the girl.

Thus, the correct answer is option (2).

Which government policy addresses penalizing hospitals for readmissions of clients with certain diagnoses within 30 days after discharge?

Answers

Answer:

The Affordable Care Act.

Explanation:

The Affordable Care Act, also known as Obamacare, established the Hospital Readmission Reduction Program, which states that a hospital will be penalized if their number of patients with pneumonia, heart failure, or myocardial infection that are readmitted within 30 days after discharge is higher than expected.

A 16-year-old child is admitted to the hospital for treatment after a motor vehicle crash. Review of the child's record reveals that the child is an emancipated minor. What does this mean?

Answers

Answer: When you call a child an "emancipated minor", it means that that the child has been freed from control by his/her parents or guardians, and the parents/guardians are freed from any and all responsibility toward the child before the child attains majority.

Children before this age are considered legally incompetent and therefore should be looked after. Emancipation overrides this and gives the child the legal right to make his/her decisions.

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Which of the following scenarios describes the sensing component of the Myers-Briggs Type Indicator: a. Alf prides himself on being fair and not letting emotions get in his way when making decisions. b. Amelia is less interested in facts than in the patterns and relationships among them. c. Lenny prides himself on his adaptability. He hates making final decisions and, as a result, often misses his deadlines. d. Olga often criticizes others for being 'too logical.' She believes that logic is a lie people tell themselves to justify making cold, cruel, or outright immoral decisions. When asked to make hard choices, Olga bases her decisions on what is best for the people she cares about. e. Liang is uncomfortable making an important decision unless he feels that he has all of the facts. f. Hosanna is decisive. In a group, she's usually the first person to take stock of the essential information and forumulate a plan.

Answers

Answer:

The correct answer is: E) Liang is uncomfortable making an important decision unless he feels that he has all of the facts.

Explanation:

Sensors pay attention to their senses, to their physical reality. They focus on the present and like to see the practical side of things. Sensors value experience, notice facts and remember details. For a person with a sensing component, to make a decision it is fundamental to have all the facts and the details, taking into consideration every past experience.

During preoperative teaching for a client who will undergo subtotal thyroidectomy, the nurse should include which statement?
1. "The head of your bed must remain flat for 24 hours after surgery."
2. "You should avoid deep breathing and coughing after surgery."
3. "You won't be able to swallow for the first day or two."
4. "You must avoid hyperextending your neck after surgery."

Answers

Answer:

a) "You must avoid hyperextending your neck after surgery."

Explanation:

After this type of surgery, it’s important to rest.

If a person expands their neck, the wound might take more time to heal or maybe cause additional problems, like infection, heavy bleeding or something else.

It might take some time, but at least, a person will feel safe and it will take less time to heal before they can get back to their regular activities.

Nutrient density refers to ___. 1. calories in relation to weight 2. nutrients in relation to serving 3. size nutrients in relation to portion size 4. nutrients in relation to calories

Answers

Answer: 4). Nutrients in relation to calories.

Explanation:

Nutrient density refers to foods that provides more nutrients relative to its energy content (calorie).

Two types of food could contain the same nutrients but different calories, the one with lesser calories is said to be more nutrient dense than the other.

For example; A glass of tomato juice and a glass of Orange juice, both contain almost the same number of nutrients but Orange juice contains more calories. Therefore the glass of tomato juice is more nutrient dense.

Nutrient density refers to the nutrients in relation to calories. It measures the amount of essential nutrients a food provides per calorie.

Nutrient density refers to the nutrients in relation to calories. It measures the amount of essential nutrients a food provides per calorie. Foods that have a high nutrient density provide more essential nutrients in relation to their calorie content.

For example, fruits and vegetables are considered to have a high nutrient density because they contain a variety of vitamins, minerals, and fiber while being low in calories.

On the other hand, foods high in added sugars or unhealthy fats have a low nutrient density because they provide a lot of calories but few essential nutrients.

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Please help! You are to create a story for a child of 5-6 years old. You will explain the brain and its functions to them. You need to use the following terms and explain their functions in simple terms. Use the format of a story to keep the child interested, and be sure to use illustrations. Add characters (Dora, Superman, etc.) to make the information fun.

Answers

Answer:

Hey kids, have you ever seen on TV characters such as Batman, and how they can always beat the bad guy? Well, other than pure luck, all their actions, such as the throwing of the batarang is all coming from the brain. The brain is what controls our thoughts, so when you feel excited over the new episode of Spongebob coming up, the feelings are being processed in your brain. The brain can do a lot more than just feelings, but it's the reason why you're moving. Our brain controls our bodies so we can move freely, like when we play sports, or like how Superman can fly in to save troubled souls in the burning buildings. This is called the nervous system, and if the nervous system is gone, you'd be as dead as the feeling when you finish your favorite television show. Other than movement or feelings, it's main purpose is to send and receive information, like Iron Man's computer program. Basically, the nervous system is as big as a superhero as Hulk. Obviously for these to work though, we have to power it somehow, so remember always be moving and thinking, and your nervous system will fuel you up for battle. In no time, you'll be swinging like Spidey!

Final answer:

The brain is likened to a magical kingdom, with its various parts performing unique functions, explained through the characters Dora and Superman. The Forebrain controls senses and thought, the Midbrain handles multiple tasks like movement and vision, and the Hindbrain takes care of basic life functions.

Explanation:

Once upon a time, in a world where characters like Dora the Explorer and Superman lived, there was a magical kingdom hidden away in everyone's head. This kingdom was called the Brain.

This magical kingdom had three main parts; the Forebrain, Midbrain, and Hindbrain, like the different neighborhoods in a village. The Forebrain, where Dora lived, was like a command centre. It controlled thought, language, and our five senses. Whenever you smell a flower or taste your favourite ice cream, that's the Forebrain at work!

Next is the Midbrain, where Superman resides. Superman, just like our Midbrain, is super good at multitasking. It enables us to move, regulates our body temperature, and allows us to see and hear, like when we watch Superman in action on T

In the quiet part of the kingdom is the Hindbrain, which is the backbone of our existence, just like how every story needs a good ending. It takes care of the basics, like controlling our heart rate, breathing, and sleeping. So, when Dora and Superman need to rest after a day full of adventures, the Hindbrain is there to help.

So, each day when you play, study, eat or sleep, remember that the magical kingdom inside your head is working day and night like Dora and Superman to make sure you can do all the wonderful things you do!

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A client with HIV has been admitted to a health care facility. Which nursing diagnosis should be the priority, keeping in mind the client's condition?
A) Risk for Imbalanced Nutrition
B) Risk for Infection
C) Risk for Ineffective Coping
D) Risk for Activity Intolerance

Answers

Answer:

B: risk for infection

Explanation: A HIV patient is susceptible to infections due to a weakened immune system. The virus attacks the white blood cells of the body that fight foreign bodies in the body, thereby making the immune system weak to fighting infection.

When caring for a patient with HIV, the nurse must provide care using all standard precautions not to expose the patient to more infection.

A client has been identified as having an excess of macrophage inhibitory factor, causing the client to have inhibited movement and activity of macrophages. Which process should the health care team expect to remain unaffected?

Answers

Answer:

Specificity and memory of the immune response

Explanation:

The first step in responding to an emergency is recognizing when one exists. Three examples of emergency situations are as follows:a. Lack of consciousnessb. Chest Painc. Chemical BurnsTrue / False.

Answers

Answer: True

Explanation: An emergency is a situation that can cause health impairment or lost of life, if not attended to immediately. It requires fast attention so as to suppress the situation from getting worse.

Lack of consciousness, chest pain and chemical burn are among the important symptoms that's need immediate medical attention when recognized.

The best approach when these situation occurs is to remain calm, ensure you are in a safe place, keep the victim in a ventilated place and call the designated authority to inform them of the emergency.

Mr. Randolph is experiencing muscle weakness, loss of coordination and speech, and visual disturbances that result from the slowdown or interruption of neural transmission. The cause of these symptoms probably involves the degeneration of his myelin sheath. Mr. Randolph likely has:_______________.

Answers

Answer:

Mr. Randolph likely has multiple sclerosis.

Explanation:

In multiple sclerosis (MS, there is nerve damage which leads to the disruption of communication between the brain and the body.

If 3 grams of active ingredient are needed to make 1 pint of a suspension, how much active ingredient is needed to make 1 gallon of the suspension?

Answers

Answer:

25mL of active ingredient is needed to make 1 gallon of the suspension

Explanation:

3 grams of active ingredient are needed to make 1 pint (16 ounces = 16×28.35 grams = 453.6 grams) of the suspension

Volume active ingredient needed to make 1 gallon (3.7854L = 3.7854×1000mL = 3785.4mL) = 3785.4mL × 3g/453.6g = 25mL

Answer: 18 Grams

Explanation:

Larger quality-of-life issues such as access to clean water, healthcare, and free education frame the debate about what important topic?

Answers

Answer:

Social responsibility theory

Explanation:

Social responsibility is considered an ethical theory which explains that people must be held responsible for all civic duties; this is to say that the individuals' actions must benefit the society. The benefit to the society might be in form of good healthcare, clean water, access to free education and other benefits. As long as there is equilibrium in all of these benefits, social responsibility is achieved.

"Which standard related to the HIPAA Security Physical safeguards requires the CE to implement policies and procedures for the movement of hardware and electronic media that contain ePHI into and out of the facility and within a facility?

Answers

The security system is policy safe environment factors
Final answer:

The HIPAA Security Physical safeguard standard for the movement of hardware and electronic media with ePHI is the Device and Media Controls standard.

Explanation:

The standard related to the HIPAA Security Physical safeguards that requires a Covered Entity (CE) to implement policies and procedures for the movement of hardware and electronic media that contain Electronic Protected Health Information (ePHI) into and out of the facility, and within a facility, is known as the Device and Media Controls standard. This standard is part of the physical safeguards required by HIPAA to ensure the confidentiality, integrity, and availability of ePHI. It is crucial for healthcare providers and other entities handling patient information to have comprehensive policies in place addressing issues like the disposal of media, data backup, and accountability, thus preventing unauthorized access to sensitive patient data during these processes.

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A client is undergoing a diagnostic workup to rule out multiple myeloma. Which diagnostic findings would confirm the diagnosis of multiple myeloma?

Answers

Answer:

Plasma cells greater than 10% on bone marrow biopsy

Explanation:

Multiple myeloma is a bone marrow cancer that, for now, has no cure, but a treatment that allows long periods of remission.

Multiple myeloma is a cancer that appears in plasma cells, a type of white blood cell that occurs in the bone marrow. The bone marrow is the spongy material found in the center of the largest bones in the body, and it is also where all blood cells are produced.

One of the tests to diagnose multiple myeloma is Bone Marrow Biopsy

It consists of placing a needle inside the bone to take a small sample of bone marrow, usually in the hip bone. The sample obtained is usually called bone marrow aspirate.

This test includes the plasma cell count and is performed both at the beginning and at the end of the treatment. If the plasma cells is greater than 10 % confirm the diagnosis of multiple myeloma.

The cardiologist examines a client's echocardiogram and determines that the client has aortic stenosis. The cardiologist explains that a frequent cause of this valve disease is__________.

Answers

Answer: Congenital heart defect

Explanation:

Aortic valve sterosis happens when the aortic valve of the heart narrows. Blood flow is reduced or blocked as a result of this narrowing. When the aortic valve is narrowed, the left ventricle thickens because it has to work harder to pump the needed blood into the aorta and the rest of the body, which overtime weakens the left ventricle.

One of the causes of the aortic valve narrowing is a Biscupid Aortic Valve which is a congenital heart defect. It is an genetic form of heart disease whereby two of the leaftets of the heart's aortic valve fuse during development in the womb, which ends up as a Biscupid valve (two-leaftet valve) instead of the normal Triscupid valve (three-leaftet valve).

A woman has informed the nurse that she plans to have a freebirth. Which statement indicates that the woman understands what freebirth entails?

Answers

Answer:

plan on giving birth at home without anyone around except husband and children

Explanation:

when a woman inform to his nurse about free birth that she is planning for free birth

free birth is referred to the unassisted childbirth mean intentionally give birth without the help of nurse or assistance of medical birth attendant

so she here she plan give birth at home with the presence of family members like her husband and her children

___________ happens when people cross that line and drink or use drugs at a level that causes problems in one or more areas of their lives.

Answers

Answer: Abuse

Explanation: Abuse occurs when an individual takes to improper or unhealthy usage of certain substances whose intake ought to be controlled. In most cases, abuse could take the form of drugs, drinks, or even power. Most individuals who abuse drugs, drinks intend to derive temporary strength in other to perform a particular task, They may attempt to tweak their emotional and psychological status in other to get over a particular situation or enable them perform a cruel act without feeling sorry. However, Abuse poses a serious health risk to involved individuals both physically and mentally.

A client in her second trimester arrives at a health care facility for a follow-up visit. During the exam, the client reports constipation. Which instruction should the nurse offer to help alleviate constipation

Answers

Answer:

Rather than starting taking laxatives, it always recommended to first try with home remedies such as some fibrous foods and other dietary changes.

Explanation:

Adults should eat between 28 and 34 grams of fiber each day. To get to this, it is recommended to eat more fibrous food such as fruits, vegetables and whole grains. In the worst case some fiber supplements should be taken. Another recommendation is to drink enough water, not only the one we drink but the one that is in soups, teas and fruits and vegetables. Doing some activity helps stool move through the instestines.

Erik Erikson noticed that many severely troubled teens were unable to make the emotional transition to adult life. They suffered from what Erikson called role:a) achievement.
b) confusion.
c) foreclosure.
d) moratorium.

Answers

Answer: B). Role confusion

Explanation:

According to Eric Erik's on eight (8) stages of Psychosocial Development, in adolescence (between ages 12-18) a child faces the task of identity vs role confusion. That is, finding one's self. The main task in this stage is developing a sense of self.

According the Eric, Adolescents successful at this stage are said to have a strong sense of identity whilst Adolescents who develop a weak sense of self and are unsure about their identity are said to experience "Role confusion".

A physiological __________ is a difference in chemical concentration

Answers

Answer:

Gradient.

Explanation:

Psychology may be defined as the field of biology that mainly deals with the study of the mind, behavior and social aspect of the individual. The one who is expertise in the psychology is known as psychologist.

The psychological gradient shows the unequal or difference in the physical pressure or chemical difference between the two points. This might also the difference in the mental activity and its response in the different actions like reading, writing and at its conclusion.

Thus, the answer is gradient.

Which is an example of an organization that accredits hospitals and other health care institutions in the United States? 1 American Hospital Association 2 American Medical Association 3 American College of Radiology 4 The Joint Commission on Accreditation of Healthcare Organizations

Answers

Answer:

"The Joint Commission on Accreditation of Healthcare Organizations"

Explanation:

The joint commission on accreditation of healthcare organization, being a non government organization running, it does not work for any profit.  It was established in the 1951 in order to determine the health care institutions that want their accreditation. They also make health plans and checks the proper health care networks. This organization is lead by the 29 members of the commission. In that board members there are physicians, administrators, nurses, employers, a labor representatives, health plan leaders, quality experts, ethicists and consumer advocate and educators.

Answer:

American Hospital Association

Explanation:

edge 2022

An 81 Y/O female was admitted to the oncology unit with metastatic cancer for pain control. On day 4 of hospitalization, she suffered circulatory complications and she was transferred to the step-down unit. The pressure injury survey was conducted on day 5 of hospitalization and her family verbally consented to have her included in the pressure injury survey. The survey team found a large Stage 1 area of non-blanchable redness over her right ischial tuberosity.
A review of her hospital admission assessment record revealed her skin was warm, dry, and intact. The skin assessment documented on arrival to the step-down unit noted a small Stage 1 pressure injury at this site. For the pressure injury survey, this would be reported as:
a. Community-Acquired Pressure Injury
b. Hospital-Acquired Pressure Injury Only
c. Hospital-Acquired and Unit Acquired Pressure Injury

Answers

Answer:

b. Hospital-Acquired Pressure Injury Only

Explanation:

It is understood that the injury originated during hospitalization, because no injury was reported at the time of admission.

If you were evaluated at the time of transfer to the reduction unit, you already had the injury at the time of Stage 1.

Final answer:

The pressure injury should be reported as a Hospital-Acquired Pressure Injury Only, as it was not documented upon admission and was first noted in the hospital's care. Thus, option B is correct.

Explanation:

The correct answer is b. Hospital-Acquired Pressure Injury Only. This determination is based on the information that the patient's skin was intact and without pressure injuries upon admission as documented in the hospital admission assessment record. The development of pressure injury occurred during the patient's hospital stay, first noted as a small Stage 1 injury upon arrival to the step-down unit and later identified as a larger Stage 1 area during the pressure injury survey conducted on day 5 of hospitalization. Thus, the pressure injury is classified as hospital-acquired because it was not present during the initial skin assessment at admission and observed after admittance to the hospital.

The home health nurse evaluates a client's use of a nasal decongestant spray. Which statement by the client to the nurse indicates correct understanding of the procedure?
A. "I lie down with my head tilted backward before I use the spray."
B. "I close one nostril while I breathe in and squeeze the spray into the other."
C. "I keep the tip of the spray container no more than 1/2 inch in front of my nostril."
D. "I blow my nose firmly to clear it before and after I administer the medication."

Answers

Answer: B). "I close one nostril while I breathe in and squeeze the spray into the other."

Explanation:

The following steps are required to safely and correctly administer a nasal decongestant spray;

1). Wash hands throughly with soap and water.

2). Blow out your nose gently before administering the medication.

3). Keep your head upright whilst breathing in quickly, gently close one nostril whilst squeezing the spray into the other.

4).Repeat the steps (2-3) for the other nostrils.

5). Try not to blow out your nose or sneeze just after the administration of the medication.

6). Wash hands thoroughly with soap and water after using the spray.

Which of the following are factors that are associated with worse health outcomes in the U.S.? Unemployment, poverty, and environmental pollution

Answers

Answer:

Unemployment, poverty

Explanation:

Poverty- income inequality , nonclinical factors (education, employment, race, ethnicity, and geography) and health care payment and delivery system reforms are some of the factors that are associated with health outcomes in the U.S.

What government agencies provide the representatives to chair the ICD-10-CM Coordination and Maintenance Committee, and what is the committee’s responsibility?

Answers

The correct answer is; There is one representative from the National Center for Health Statistics and  Centers for Medicare and Medicaid Services. The responsibility for the committee is to oversee the HIPPA codes for all medical diagnoses and all of the acute inpatient procedures.

Further Explanation:

In 2015, the ICD-10-CM Coordination and Maintenance Committee replaced the ICD-9-CM. This committee is comprised of of the National Center for Health Statistics and the Centers for Medicare and Medicaid Services. This is a federal interdepartmental committee.

The committee takes the suggestions from the private and public sectors for any and all modifications. Proposals must be sent and any modifications that are suggested are needed before any scheduled meetings.

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The registered nurse is teaching about levels of postanesthesia care unit (PACU) care to a nursing student while caring for a patient who is transferred from the operating room to the PACU. Which statement made by the nursing student indicates effective understanding?

Answers

Answer:if the nursing student can summaries the level of post anesthesia care unit, for example the student says

The postanesthesia period may be separated into three levels of care: Phase I, Phase II, and Extended Care. 5 Each phase of recovery may occur in one PACU or in multiple locations, which may include the patient's room

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