When a client has an illness where brain dysfunction directly influences his or her feelings, the DSM-IV diagnosis would be which of the following?
a. Major Depressive Episode
b. Mood Disorder due to a General Medical Condition
c. Dysthymic Disorder
d. axis III diagnosis with primary psychiatric diagnosis
B
Mood Disorder due to a General Medical Condition is the DSM-IV diagnosis given when an organic dysfunction acts as a direct influence on a client's emotions. Depression following a stroke is an example of this phenomenon. Such depression can have roots in the neurological effect the stroke has had on the client.
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A person's self-concept, or how a person sees himself or herself, comprises which of the following? (Select all that apply.)
a. Body image b. Self-esteem c. Identity diffusion d. Self-ideal e. Personal identity
When caring for an intubated patient on mechanical ventilation using positive end-expiratory pressure (PEEP), the nurse continually assesses for which potential complication?
A) Lung injury due to barotraumas B) Pulmonary emboli C) Cor pulmonale D) Pulmonary edema
Immediately after a patient's death, a nurse performs postmortem care. Correct care would include
1. Insisting that the family bathe the patient so they can begin the grieving process. 2. Documenting the time when the patient stopped breathing and the heart ceased. 3. Notifying the physician so that the patient will be legally pronounced dead. 4. Bathing the body and removing all tubes, unless an autopsy might be ordered.
A patient has been taking antitubercular therapy for 3 months. The nurse will assess for what findings that indicate a therapeutic response to the drug therapy?
a. The chronic cough is gone. b. There are two consecutive negative purified protein derivative (PPD) results over 2 months. c. There is increased tolerance to the medication therapy, and there are fewer reports of adverse effects. d. There is a decrease in symptoms of tuberculosis along with improved chest x-rays and sputum cultures.