Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient:
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between "as if" and "for real."
d. perceives difficulty making a decision about whether to change jobs.
ANS: B
The correct response describes a mood alteration, which reflects mental illness. The distracters describe behaviors that are mentally healthy or within the usual scope of human experience.
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A woman and her son fight constantly since the son started using drugs. The son tells his mother that his drug use is none of her business. Which of the following responses by the community health nurse would be most appropriate?
a. Talk to the mother and son about their dysfunctional relationship, guiding them to understand that both of them are at fault. b. Talk to the mother and son to help them recognize their present dysfunctional relationship, and find problem-solving interventions that benefit both. c. Educate the mother about more effective ways to motivate her son to reconsider his desire to abuse drugs. d. Refer the mother and son to family therapy because of the degree of dysfunction evident in their relationship.
Which of the following is the term representing the "difference between a true and obtained score''?
A) Error of measurement B) An observed score C) Response-set bias D) Situational contaminant
The LPN has been assigned to a medical floor and to do all of the dressing changes and other treatments. The RN will make the rounds with the physicians, transcribe orders, and administer all of the IV medications
Another LPN will administer medications. What type of nursing is this group providing? A) Team nursing B) Total care C) Functional nursing D) Primary nursing
Which technique is least effective for the client with persistent occiput posterior position?
a. Squatting b. Lying supine and relaxing c. Sitting or kneeling, leaning forward with support d. Rocking the pelvis back and forth while on hands and knees