Test Bank For Health Assessment For Nursing Practice 6th Edition by Wilson
Test Bank For Health Assessment For Nursing Practice 6th Edition by Wilson
Test Bank For Health Assessment For Nursing Practice 6th Edition by Wilson
9. Which patient information does the nurse document in the patient’s physical assessment?
a. Slurred speech
b. Immunizations
c. Smoking habit
d. Allergies
ANS: A
Slurred speech should be noticed by the nurse and documented as objective data in the physical assessment. Data on immunizations
are collected from the patient, are subjective, and documented in the history. A smoking habit is information that comes from the
patient, making it subjective data that is documented in the history. Allergies are information that come from the patient, making it
subjective data that is documented in the history.
12. A nurse is teaching a patient how to manage chronic obstructive pulmonary disease (COPD). This intervention is an example of
which level of health promotion?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Risk factor prevention
ANS: C
Teaching a patient how to live with a chronic disease is an example of tertiary prevention directed toward minimizing the disability
from chronic disease and helping the patient maximize his or her health. The focus of primary prevention is to prevent a disease
from developing by promoting a healthy lifestyle. Secondary prevention consists of efforts to promote early detection of disease.
Risk factor prevention is part of primary prevention that focuses on preventing disease by managing risk factors.
Ferdinand’s feeling for his wife was shown in the public letter of
gratitude which was published soon after his return to Madrid. It ran
thus:
It was thus that Don Carlos made himself an exile, and the two
brothers, who had always been together in the many vicissitudes of
their lives, were now parted for ever.
To the King in his declining days it was doubtless a grief to be so
separated from one with whom he had always shared his thoughts,
and on whom he had so much depended. The companionship of
Don Carlos during his years of enforced residence at Valençay had
saved him being forlorn. However, the bright and cheerful society of
Cristina during these days, when the letters of Don Carlos showed
how irreparable was the breach between the brothers, was a great
solace to the King.
The Queen was always energetic, bright, and busy. The painting
of “Cupid and Psyche” by her own hand, given to the Academy of
San Fernando, showed her talent for art; and her interest in literature
was seen in her asking Ferdinand to have a bust of Cervantes
placed on the front of the house of the great author. Moreover, the
School of Music owed its foundation to the same royal patroness.
The ceremony of the administration of the oath to Isabel, as heir
to the throne, finally took place with all the pomp and ceremony for
which the Court of Spain is so famous. The King and Queen stayed
the night preceding the function at the house called San Juan, in the
Buen Retiro, and from thence they proceeded in state to the same
Church of San Geronimo where Ferdinand himself received the oath
of allegiance in 1833, and where our Princess Ena became the bride
of Alfonso XIII. Gentiles hombres, grandees, and generals, made a
brilliant procession. Then came the Infantes Don Francisco and Don
Sebastian, followed by Their Majesties, walking on either side of the
heir-apparent, Princess Isabel, who was carried in the arms of a
lady-in-waiting. The procession concluded with the Ambassadors
and Chamberlains, and the Royal Guard playing the national air.
The Patriarch of the Indias was seated in front of the high-altar to
receive the oath, which was read aloud by a Camarista de Castilla.
The Infantes came in turn to the altar, where they knelt and
repeated the words of allegiance. Then they each kissed the hand of
His Majesty, who threw his arms round their necks; and they then
kissed the hands of the Queen and the Princess, and returned to
their seats. The same order of procedure was then followed by the
other Infantes, Cardinals, Archbishops and Bishops, grandees and
dignitaries; and, the ceremony over, the city was gay with fêtes.
A long correspondence then took place between the royal
brothers, when Don Carlos declined to leave the Peninsula.
As Don Carlos was favoured by the Jesuits of Spain, the plots of
the party were incessant; and in the palace itself the intrigues of the
party were seen in the Royal Guard.
It was on July 29 that Ferdinand died. He had been left alone with
the Queen to rest, when he was seized with a sudden attack of
apoplexy. As the death was so sudden, the Queen, remembering the
recent occasion when the alarm was false, said she would not have
the body touched for forty-eight hours.
At last the poor King was laid in state in the Salon of the
Ambassadors, and the funeral took place at the Escorial.
“Señor! Señor! Señor!” cried the Duke of Alagon, the Captain of
the Guards of the Royal Person; and as the solemn silence following
these cries was unbroken, the Captain said, “As you do not reply,
señor, you are really dead,” and then broke his wand of office and
placed it at the foot of the table on which lay the remains of his royal
master.
CHAPTER VI
MARIA CRISTINA AS REGENT AND AS WIFE OF MUÑOZ
1833
Maria Cristina read the paper, and in despair put her name to it.
The rebels were not, however, contented with Maria Cristina
signing this document. They insisted on the chiefs of the palace also
swearing allegiance to it in front of the banners; and then, contented
with their work, the rebels finally left the palace at four o’clock in the
morning.
This was one of the most bitter experiences in the life of the
Queen-Regent; and Barrio Ayuso’s laconic message to Madrid
—“Send help at once, or I don’t know what will befall Their
Majesties”—showed that in his opinion the Royal Family was in real
danger.
By permission of a hurriedly summoned Council of Ministers,
General Roman summoned the troops, but enthusiastic cries for the
Constitution and Liberty were mingled with “Vivas” for the Queen and
the Queen-mother; and when the soldiers filed past the palace, its
shuttered windows were eloquent of the terror which reigned within.
It must have been with a heavy heart that Maria Cristina waited in
La Granja till the time came for her to go to Madrid, for there were
divisions amid the revels as to what she was to be permitted to do.
Those hundred hours of deep humiliation and disillusion as to her
influence in the land left their mark upon her face. The winged
figures and mythological groups of statuary in the beautiful Italian
gardens of the palace must have mocked her, with their air of
jubilation, as she walked to and fro on the terrace and thought over
her position; and the fountain, topped with the figure of the flying
Pegasus draining the goblet of joy, was symbolical of the draughts of
popularity which she had quaffed, until now there was nothing but
the dregs of dismay.
At last, after much discussion with the rebels, the Queen-Regent
set out for Madrid, after both Villiers, the English Ambassador, and
the French Minister, had frankly explained to her the danger of
withstanding the evident will of the nation with regard to the
Constitution.
It was at this time that the gallant Espartero appeared upon the
scene. The danger threatening Madrid brought him by forced
marches to the city, where he led eleven battalions and several
squadrons in review before the palace.
G E N E R A L E S PA RT E R O , P R I N C E O F V E R G A R A
At last the military hero arrived at the palace, which then stood
where there are now some little houses, opposite the old Custom-
house.
The interview seems to have been somewhat stormy. Maria
Cristina is reported to have said: “I have made you a Count, and I
have made you a Duke, but I cannot make you a gentleman.”[14]
[14] Series of biographies of Spanish generals published in La
Vanguardia during 1907.
1840–1846
The little Princesses now lived in the imposing Palace of Madrid, with
all the retinue befitting their position, but far from the mother who,
with all her faults, loved her little girls, and had only left them to save
them from the greater losses with which they were threatened.
Espartero, who was now a sort of Dictator of Spain, took up his
residence in the Palace of Buena Vista, in the Alcalá in Madrid,
which is now the Ministry of War.
The secret influence which was working in Madrid in favour of
Luisa Carlota and her husband led to their being suggested as
guardians to the royal children, in a little book called “The Maternal
Guardianship of H.M. Isabel II. and Her Royal Highness’s Sister,
Maria Luisa Fernanda.”
But Government declared against the appointment of personages
who were known to nourish such hatred to the mother, who sent an
indignant protest from Paris against the project. So Argüelles was
appointed guardian, and in his choice of coadjutors certainly did his
best to improve the environment of the little Princesses. Of course
the appointment caused much discontent on some sides. The uncle
and aunt declared that it was made in the desire to separate the
Princesses from their relatives, and that it was wrong to put them
under a man who had been an enemy of their father.
Argüelles had indeed suffered at the hand of Ferdinand VII., who
gave him seven years at Ceuta when he returned to Spain as King;
but this had only been for his political opinions. Indeed, the Minister
was so eloquent that he was called “the divine Argüelles.”
As the army reigned supreme, in the person of Espartero as
Regent, the counter-influence of Argüelles in the palace was very
beneficial.
The Royal Guard, both outside and inside the palace, was now
formed of the famous halberdiers, and it was on the night of October
7, 1841, that the valour of this body of soldiers was put to an
unexpected test.
General Don Manuel de la Concha and General Leon plotted with
Queen Maria Cristina to get possession of the persons of the young
Princesses, carry them off to France, and hand them over to Don
Evaristo Perez de Castro and a Canon, a partisan of the ex-Regent,
by whom they would be escorted to their mother in Paris; and for this
bold proceeding they had only a small number of soldiers. General
Concha was to get possession of the person of the Regent, whilst
General Leon was to carry off the Princesses from the palace.
General Dulce was the guardian angel of the little girls that night. He
was standing on the landing of the grand staircase, when he saw a
company of armed soldiers coming up the steps, under the
command of a young lieutenant called Boria.
“Where are you going?” asked Dulce.
“Where my duty takes me,” was the curt reply.
“Then, you ought to stop your men in this shameful course; you
are young, and to-morrow you will repent your conduct.”
As he did not reply, Dulce checked his progress by putting his
sword to his breast; but the young man stepped aside, and cried with
a loud voice: “Lads, fire!”