A patient diagnosed with schizophrenia approaches the nurse and says, "I'm cold. Ice cream is cold. Freezers keep ice cream cold.". This speech pattern can be assessed as:
a. hyperverbosity.
b. circumstantiality.
c. loose associations.
d. expressing delusions.
C
Loose associations reflect a disturbance in thinking in which speech shifts from topic to topic in a random, seemingly unrelated manner. When severe, it results in incoherence.
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The nurse is faced with making an ethical decision regarding the care of the assigned client. Which of the following actions would be helpful to the nurse in making the right decision?
1. Discuss the dilemma with the client's family. 2. Call the Board of Nursing for assistance. 3. Contact the Legal Department of the agency. 4. Contact the agency ethics committee for assistance.
Which newborn is at higher risk for developing hypoglycemia? (Select all that apply.)
a. Post-term newborn b. 38 weeks' gestation newborn c. Small-for-gestational-age newborn d. Large-for-gestational-age newborn e. Term newborn born by cesarean birth
A client with fistula secondary to Crohn's disease is being treated with a course of glucocor-ticoids. For which complication of this treatment is the client at risk?
A. Constipation B. Hypoglycemia C. Dyspnea D. Sepsis
In the development of a nursing diagnosis for a patient who has cachexia and decreased weight, what would be an appropriate nursing diagnosis?
A) Anorexia nervosa and bulimia B) Lack of adequate nutrition related to decreased calories C) Weight loss related to abdominal discomfort D) Imbalanced nutrition: less than body requirements