To aid in the diagnosis of a client experiencing symptoms of depression, the nurse expects to see which of the following laboratory value changes?
1. Elevated serum cortisol level
2. Cerebral cortex changes on MRI
3. Alteration in cerebral blood flow from cerebral angiogram
4. Electrocardiogram changes
1. Elevated serum cortisol level
Rationale:
There are no laboratory studies that definitively diagnose mood disorders, but some abnormal findings are noted more often in mood-disordered individuals than in control subjects. One of these abnormal findings is an elevated serum cortisol level. Cerebral cortex changes on MRIs, alterations in cerebral blood flow from cerebral angiogram, and electrocardiogram changes are not associated with the diagnosis of mood disorders.
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An inpatient nursing unit uses Madeleine Leininger's theory to organize nursing care. The manager would conclude that a new nurse has successfully integrated this theory into practice when the nurse does which of the following actions?
A. Emphasizes caring over curing in nursing actions B. Establishes trusting relationships with patients C. Knows the cultural practices of many different groups D. Organizes environmental factors for the patient's benefit
When the patient shows the nurse skin-color areas that are changed, flat, and, nonpalpable, the nurse recognizes that the patient is demonstrating:
A) Macula B) Papules C) Vesicles D) Pustules
A nurse consistently works extra shifts in the hope of earning a promotion. The nurse is becoming increasingly fatigued and frustrated because the promotion has not occurred. The nurse is experiencing
a. distress. b. burnout. c. eustress. d. primary appraisal.
The nurse documents on a client's chart that he is edentulous based on which of the following findings?
1. Multiple carious teeth 2. Edema of the tissues supporting the teeth 3. Decreased saliva production 4. Toothless