For the client whose nursing diagnosis is powerlessness related to an inability to control compulsive
cleaning, the nurse must understand that the client uses the cleaning to
a. temporarily reduce anxiety.
b. gain a feeling of superiority.
c. receive praise from friends and family.
d. ensure the health of household members.
ANS: A
The primary gain achieved from the client's use of these rituals is anxiety relief. Unfortunately, the
anxiety relief is short lived and the client must frequently repeat the ritual. The other options are not
related to the dynamics of compulsive behavior.
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A two-month-old infant with a congenital heart defect has been admitted to the pediatric intensive care unit with congestive heart failure. Nursing care for this child should include which intervention?
1. Monitor respirations during active periods. 2. Give larger feedings less often to conserve energy. 3. Organize activities to allow for uninterrupted sleep. 4. Force fluids appropriate for age.
There are many factors that influence the decision to use a specific drug regimen. Consideration of which of the following factors includes evaluation of how well the drug actually works?
a. Safety b. Tolerability c. Efficacy d. Price e. Simplicity of use
A(n) __________ is an injury that occurred because of another person's intentional or unintentional actions or failure to act
Fill in the blank(s) with correct word
What effect does alcohol and drug use by students have on school performance?
a. little or none, as students attempt to cover use b. grades that drop somewhat but not significantly c. poor academic performance and often dropping out d. increased school performance in those who need to medicate