A 25-year-old client has a diagnosis of paranoid schizophrenia, with auditory hallucinations. The client informs the staff nurse it is necessary to call the FBI
The client states, "The FBI agent that was here earlier said I could call him whenever I wanted.". What would be the nurse's most appropriate therapeutic communication when talking to this client? A) End all conversations with this client until the client accepts reality.
B) Confront the client with the reality and administer the client's PRN medication.
C) Confront the client and explain that the FBI is not expecting a telephone call.
D) Ask the client directly, "What do you want to talk to the FBI about?"
D
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An 82-year-old man is admitted to a medical-surgical unit for diagnostic confirmation and management of suspected delirium. Which statement by the patient's daughter best supports the diagnosis?
1. "Dad has always been so independent. He's lived alone for years since my mom died." 2. "Dad just hasn't seemed to know what he's been doing lately. He has been very forgetful these last few months." 3. "Maybe it's just caused by aging. This usually happens by age 82." 4. "The changes in his behavior came on so quickly. I wasn't sure what was happening."
The client has delivered a 4200 g fetus. The physician performed a midline episiotomy, which extended into a third-degree laceration. The client asks the nurse where she tore. Which response is best? "The episiotomy extended and tore
A. Through your rectal mucosa." B. Up near your urethra." C. Into the muscle layer." D. Through your rectal sphincter."
A client is being treated for a thromboembolic disorder. If the goal is to prevent clot formation, the nurse anticipates the client will be treated with which classifications of drug?
Standard Text: Select all that apply. 1. Hemostatics 2. Thrombolytics 3. Anticoagulants 4. Antiplatelet agents 5. Clotting factor concentrates
A criticism of transformational leadership is that it treats leadership as a personality trait
a. True b. False