A client is admitted to a mental health unit because she was found trying to inject diluted feces into her hospitalized child's intravenous line. The client has a history of similar attempts of harming the child
The nurse would most likely suspect which of the following?
A) Schizoid personality traits
B) Factitious disorder imposed on another
C) Functional neurologic symptoms
D) Borderline personality disorder
Ans: B
A rare but dramatic disorder, factitious disorder imposed on another (previously called factitious disorder by proxy or Münchausen's by proxy), involves a person who inflicts injury on another person. It is commonly a mother who inflicts injuries on her child to gain the attention of a health care provider through her child's injuries. The client's history does not reflect manifestations of schizoid personality traits or borderline personality disorder. Functional neurologic symptoms involve severe emotional distress or unconscious conflict expressed through physical symptoms.
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The nurse is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins?
a. "Please stay during the interview; you can answer for her if she does not know the answer." b. "It would help to interview the three of you together." c. "While I interview your daughter, will you please stay in the room and complete these family health history questionnaires?" d. "While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaires?"
A patient with a massive upper gastrointestinal hemorrhage is exhibiting signs and symptoms of hypovolemic shock. What most specific treatment does the nurse anticipate?
A) Admission to a general care nursing unit for monitoring B) Initial fluid resuscitation with intravenous crystalloids C) Diet of clear liquids, advanced as tolerated D) Bed rest in semi-Fowler's position
You are considering putting forward a proposal to move the model of care from team nursing to a primary nursing hybrid: patient-focused care model
In considering this proposal, you recognize that significant costs specific to operationalizing this model are related to: a. Implementation of an all-RN staff com-plement. b. Significant changes in the physical struc-ture of units. c. Orientation of staff to new roles and re-sponsibilities. d. Testing and piloting technology at the bedside.
Chief executive officers of any company have
a. Legitimate power b. Referent power c. Expert power d. Personal power e. Emergent power