A pregnant woman's diet consists almost entirely of whole grain breads and cereals, fruits, and vegetables. The nurse would be most concerned about this woman's intake of:
a. Calcium. c. Vitamin B12.
b. Protein. d. Folic acid.
ANS: C
This diet is consistent with that followed by a strict vegetarian (vegan). Vegans consume only plant products. Because vitamin B12 is found in foods of animal origin, this diet is deficient in vitamin B12.
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A 60-year-old client diagnosed with schizophrenia spectrum disorder presents in an ED with uncontrollable tongue movements, stiff neck, and difficulty swallowing
Which medical diagnosis and treatment should a nurse anticipate when planning care for this client? 1. Neuroleptic malignant syndrome treated by discontinuing antipsychotic medications 2. Agranulocytosis treated by administration of clozapine (Clozaril) 3. Extrapyramidal symptoms treated by administration of benztropine (Cogentin) 4. Tardive dyskinesia treated by discontinuing antipsychotic medications
Which of the following are signs that indicate that the mental health nurse is becoming overly involved with a client's care? (Select all that apply.)
a. Knowing when to help and when not to help a client b. Showing greater levels of concern for one client over all other clients c. Feeling that the nurse is the only caregiver who understands the client d. Being committed to providing competent health care at all times
During an interview with a depressed patient, the nurse sits with folded arms and fidgets when long silences occur
When the patient expresses hopelessness about getting better, the nurse replies, "You will feel better when your medication takes effect." This interaction: a. shows therapeutic use of limit-setting. b. is minimally therapeutic but effective. c. evidences therapeutic use of self. d. is nontherapeutic and ineffective.
Which classic feature of an epidural hematoma may distinguish it from other skull hematomas?
a. Unilateral hemiparesis b. Loss of speech c. Temporary hearing loss d. A brief loss of consciousness, then a brief "lucid" moment, followed by a momentary unconsciousness occuring minutes after the injury