A patient admitted yesterday for injuries sustained in a fall while intoxicated believes snakes are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis?

A) Disturbed sensory perception
B) Ineffective coping
C) Ineffective denial
D) Risk for injury

The nurse analyzes the patient's ECG and compares it with a baseline ECG recorded before the patient began having chest pain.What finding indicates a problem with the ventricle?

A) Prolonged QRS segment
B) Elevated P wave
C) Absence of T wave
D) Prolonged PR interval

A patient is fearful of riding on elevators. The therapist first rides an escalator with the patient. The therapist and patient then stand in an elevator with the door open for 5 minutes and later with the elevator door closed for 5 minutes. Which technique has the therapist used?

A) Classic psychoanalytic therapy
B) Systematic desensitization
C) Rational emotive therapy
D) Biofeedback

A nurse is teaching an adolescent how to use the peak expiratory flowmeter. The adolescent has understood the teaching if which statement is made?

A) "I will record the average of the readings."
B) "I should be sitting comfortably when I perform the readings."
C) "I will record the readings at the same time every day."
D) "I will repeat the routine two times."