The nurse is told that a client with disorganized schizophrenia is being admitted to the unit. The
nurse should expect the client to demonstrate
a. highly suspicious, delusional behavior.
b. extremes of motor activity and excitement to stupor.
c. social withdrawal and ineffective communication.
d. severe anxiety and ritualistic behavior.
C
Clients with disorganized schizophrenia demonstrate the most regressed and socially impaired
behaviors of the schizophrenias. Communication is often incoherent, with silly giggling and loose
associations predominating. Option A relates more to paranoid schizophrenia. Option B relates to
catatonic schizophrenia. Option D is seen with obsessive-compulsive disorder.
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A patient is diagnosed with hyperthyroidism. The nurse should expect clinical signs and symptoms similar to:
A) Hypovolemic shock B) Sympathetic nervous system stimulation C) Benzodiazepine overdose D) Addison's disease
A client desires to lost 20 lbs. Which option should the nurse suggest to this client?
a. Eliminate foods containing polyunsaturated fats such as fatty fish and nuts. b. Restrict intake to calories from high-protein sources while eliminating carbohydrates. c. Include calories from all forms of fat including saturated, monounsaturated, and polyunsaturated fats. d. Maintain fat intake to the lower range of daily recommendations and including primarily monounsaturated and polyunsaturated fats.
Following an angiogram, the nurse will assess and record:
a. allergy to dye. b. range of motion of lower limbs. c. presence and strength of pedal pulses. d. nausea.
The nurse determines that a client's edema of the lower extremities is most likely due to lymphedema based on which of the following?
A) Pitting edema B) Ulceration of the skin C) Areas of pigmentation D) Bilaterally present