Which patient is apt to display violent behavior directed at others? (Select all that apply.)
a. A patient with a history of obsessive compulsive behaviors who displays signs of severe depression after the loss of a job held for 20 years
b. A patient who has a history of assaulting people when commanded to do so by "the voices"
c. A patient who has been noncompliant with prescribed psychotropic medication and whose manic behavior has escalated
d. A patient who has an antisocial personality disorder and who has been abusing amphetamines for 3 years
e. A patient who was diagnosed with posttraumatic stress disorder (PTSD) who recently lost a limb in an automobile accident
B, C, D
The predictors of violence include prior violent behavior, noncompliance with medications, current substance abuse, and antisocial personality disorder.
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The client often says, "You don't understand me." The care provider interprets his statement as meaning he
1. is an uncooperative adolescent. 2. doesn't care to be around adults. 3. thinks that only his peer group understands him. 4. is projecting his lack of self understanding onto others.
After a biopsy, the client tells her physician that if the mass is malignant, she wants to know, but she does not want any further treatment or her family to know. A major nursing responsibility in caring for the client would be to:
a. convince her to tell her family. b. suggest she consider treatment options. c. contact her family so they can help her. d. support her decision regarding care.
The nurse accidentally bumped the newborn's bassinet. The infant responded by extending and abducting the extremities, and the fingers fanned to form a C. The infant then flexed both arms in an embracing motion
This is an example of which newborn reflex? A. Dancing B. Moro's C. Rooting D. Babinski
Place the steps for breast self-examination (BSE) in the order a nurse should teach a client to do them (select all that apply)
a. Feel both breasts while lying down. b. Feel both breasts while sitting or standing. c. Gently squeeze each nipple to look for discharge. d. Look at your breasts in the mirror with your arms on your hips. e. Look at your breasts in the mirror with your arms raised.