Which client statement reflects an understanding of the effect of circadian rhythms on a person's ability to function?
A. "When I dream about my mother's horrible train accident, I become hysterical." B. "I get really irritable during my menstrual cycle."C. "I'm a morning person. I get my best work done in the a.m."
D. "Every February, I tend to experience periods of sadness."
C
By stating, "I am a morning person," the client demonstrates an understanding that circadian rhythms may influence a variety of regulatory functions, including the sleep–wake cycle, regulation of body temperature, and patterns of activity. Most humans follow a 24-hour cycle that is largely affected by light and darkness.
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An important aspect of developing a therapeutic relationship with a mental health client is for the nurse to show that she cares about the client. The nurse who is working on an inpatient unit can show signs of caring by:
a. Telling a client several times a day that he or she cares about him or her b. Asking a client what his or her favorite movie is, then showing that movie during a movie night on the unit c. Giving a client a card that has a sentiment that says the nurse cares about him or her d. Telling a client that he or she is the favorite client
A depressed patient repeatedly tells staff that he's evil and that his "insides are rotting" because God is punishing him. What would the priority nursing diagnosis for this patient be?
a. Spiritual distress b. Disturbed thought process c. Situational low self-esteem d. Ineffective health maintenance
The nurse is caring for a client with a disturbance in thought process who is disoriented and aggressive. Which of the following nursing actions may produce further agitation?
A) Speaking in slow, brief sentences B) Presenting the reality of the situation C) Allowing the client freedom in a confined area D) Being present without speaking
A patient is to receive dopamine 5 mcg/kg/min by continuous intravenous infusion. The patient's weight is 176 lb
To complete the calculation of this medication problem, a nurse would have to know that 176 lb would convert to how many kilograms (kg)? a. 80 b. 880 c. 83 d. 352