After providing care, a nurse charts in the patient's record. Which entry will the nurse document?

Apparently is asleep with eyes closed.

Skin pale and cool.

Drank adequate amounts of water.

Appears restless when sitting in the chair.

Answer and Explanation

The Correct Answer is B

A. "Apparently is asleep" is subjective and does not clearly convey the nurse's observation.
B. "Skin pale and cool" is an objective and measurable observation that can be documented clearly.
C. "Drank adequate amounts of water" is vague and should be more specific, such as "drank 200 mL of water."
D. "Appears restless" is subjective and does not provide clear documentation of the patient's condition.

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Correct Answer is A

Explanation

A. Supporting a health-related initiative on social media is appropriate and professional. It promotes public health and advocacy.
B. Venting about a patient breaches professionalism and potentially violates confidentiality.
C. Posting any identifiable patient content is a HIPAA violation, even if not named.
D. Friending patients violates boundaries and can compromise the therapeutic nurse-patient relationship.

A. Sexuality B. Retirement C. Social isolation D. Environment

Correct Answer is C

Explanation

A. While changes in sexuality may occur in older adults, there is no indication that this is a concern for this client at this time.
B. Retirement can cause psychosocial changes, but this client has been retired for 5 years, making it a less immediate concern.
C. The client is at high risk for social isolation due to widowhood, lack of transportation, rural living, and the absence of a driving license. Social isolation is a major psychosocial risk in older adults and can lead to depression, cognitive decline, and physical deterioration.
D. Environmental factors (rural area, lack of transport) contribute to the risk of social isolation but are not the psychosocial issue itself.

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After providing care, a nurse charts in the patient's record. Which entry will the nurse document?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which action by the nurse indicates a safe and efficient use of social networks?

Correct Answer is A

Explanation

A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?

Correct Answer is C

Explanation

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After providing care, a nurse charts in the patient's record. Which entry will the nurse document?

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