A nurse is caring for a client diagnosed with a delusional disorder. While assessing this client, which of the following would a nurse expect to find?
A) History of chronic major depression
B) Consistently disrupting behavior patterns
C) Verbalization of bizarre delusions
D) Living with one or more delusions for a period of time
Ans: D
Clients usually live with delusions for years, rarely receiving psychiatric treatment unless their delusion relates to their health or they act on the basis of their delusion and violate the law or social rules. The person often behaves in a normal manner except when focusing on the delusion. A person with delusional disorder does not have other psychiatric disorders. If mood episodes occur with this disorder, the duration of the mood episode is relatively brief in comparison. Behavior is remarkably normal except when the client focuses on the delusion. Delusional disorder involves the presence of nonbizarre delusions.
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A patient is hospitalized following a total hip replacement. To prevent inward rotation of the patient's hip when the patient is in a partial lateral position, the nurse should:
A) Use a triangular pillow. B) Align the head with the spine and support it with a pillow. C) Support the back with a small pillow. D) Place trochanter rolls under the greater trochanter.
After the loss and burial of a beloved pet, an older man loses weight because he eats very little. Three months later, he starts to paint pictures of the pet and his appetite slowly improves. De-scribe this individual's mourning for his pet
a. Weight loss from inadequate intake b. Pet's burial and painting pictures of the pet c. Loss of his appetite resulting in weight loss d. Increased food intake after painting begins
The nurse closely monitors for an oncologic emergency consisting of a blood calcium concentration that is too high. This may be manifested by:
1. hypertension and bradycardia. 2. fatigue, confusion, and weakness. 3. laboratory test results of potassium 2.5 mEq/L, sodium 143 mEq/L 4. urine output less than 30 mL/hr.
While taking a nursing history of a patient recently diagnosed with restrictive cardiomyopathy, which information does the nurse recognize as significant to this health problem?
1. A history of cocaine abuse 2. A family history of cardiomyopathy 3. History of depression 4. History of excessive alcohol use