Dr. Martin strikes Tom’s knee cap with a hammer and Tom’s leg jumps. This exemplifies a(n):

Without any warning, lightning strikes just outside of Jesse’s log cabin in the mountains, creating a very loud crack of thunder.  Jesse slightly flinches and his heart rate jumps.  Over the next 2 minutes, lightning strikes 5 more times within an eighth of a mile of his cabin, so there is almost no delay between the flash of light and the crack of thunder.  Jesse’s reaction to each crack of thunder becomes more and more pronounced, until at the 5th close lightning strike, his entire body flinches, his arms raise up defensively, his heart is racing, and he shouts out.  Jesse’s increasing responses exemplify which of the following?

Shelia set a time limit for her outcomes. The time frame serves to:

When caring for a client who has Hepatitis A, which type of precautions should the nurse use?

The nurse is caring for an elderly patient admitted with nausea, vomiting, and diarrhea. Upon completing the health history, which priority concern would require collaboration with social services to address the patient’s health care needs?

A major characteristic of the nursing process is which of the following?

The nurse is caring for two patients; both are having a hysterectomy. The first patient is having a hysterectomy after a complicated birth. The second patient has uterine cancer. What will most likely influence the experience of pain for these two patients?

An 82 year old woman is being admitted to the long term care facility.  Her assigned nurse completes a full assessment, including calculating the risk for skin breakdown based on the Braden Scale.  Which of the following will the nurse not include to accurately calculate a Braden Scale value? 

An older client is observed having difficulty moving from a sitting to a standing position and has an unsteady gait. What should the nurse assess in this client to promote home safety? (Select all that apply.)

The patient has been brought to the emergency department following a motor vehicle accident. The patient is unresponsive. His driver’s license states that he needs glasses to operate a motor vehicle, but no glasses were brought in with the patient. The nurse should