The Nurse Is Collecting Data for a Patient Who Has

question 8

Multiple Choice

The nurse is collecting data for a patient who has a developing pressure ulcer. What should the nurse expect to assess as early manifestations of a pressure ulcer? (Select all that apply.)

• A)Coolness of site to touch
• B)Cyanosis of site observed
• C)Report of redness at the site
• D)Report of burning at the site
• E)Tenderness at site when touched 6.Report of decreased sensation at site

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Definitions:

Major Changes

Significant alterations in one's life or environment, which could impact behavior, lifestyle, or societal structures.

Projective Tests

Psychological assessments where individuals are shown ambiguous scenes, words, or images and asked to interpret them, revealing unconscious desires or feelings.

Rorschach Inkblot Test

A projective psychological test consisting of ten inkblots presented to the participant, used to analyze an individual's personality characteristics and emotional functioning.

Thematic Apperception Test

A projective psychological test that assesses a person's patterns of thought, attitudes, observational capacity, and emotional responses to ambiguous test materials.