A client with acute mania is a business executive. He tells the nurse that his job is only his cover,
that he's really the right-hand man to the president of the United States and that he has been sent to
this city to reorganize the FBI and
CIA. A desired outcome for this client is that he will
a. use his executive skills to organize unit activities.
b. consistently display distorted thought self-control.
c. demonstrate acceptance of unit policies.
d. act out feelings.
B
The client's reality testing is poor, as evidenced by the grandiose ideas he verbalizes. An appropriate
outcome is the control of distorted thinking and maintenance of reality-based thinking. The other
outcomes are not desirable.
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Which documentation indicates that the treatment plan for a patient with acute mania was effective?
a. "Converses without interrupting; clothing matched; participates in activities.". b. "Irritable; suggestible; distractible; napped for 10 minutes in afternoon.". c. "Attention span 1 to 3 minutes; journals frequently about unit activities.". d. "Heavy makeup; seductive toward staff; pressured speech.".
A premature infant who is receiving care in a neonatal intensive care unit (NICU) has just been identified as having necrotizing enterocolitis (NEC)
Of the following clinical manifestations, identify those most likely to contribute to the diagnosis of NEC. Select all that apply. A) Feeding intolerance B) Inability to pass stool within the first 10 days of life C) Hard, taut abdomen with increasing distention D) Blood noted in stools E) Hypoactive bowel sounds on right lower quadrant
The student nurse is learning about the past history of child health and health care in the United States. Which of the following statements accurately reflects the condition of health care in the past and current centuries?
A) In past centuries in the United States, the health of the country was better than it is today due to the simpler style of living. B) In the current century, mortality rates are high, but life expectancy has increased due to technological advances. C) In the late eighteenth and early nineteenth centuries urban public health improvements made cities healthier places for growing children. D) By the late twentieth century unintentional injuries rather than infectious diseases had become the leading cause of death for children older than 1 year old.
A patient from a culture that differs from that of the nurse is hospitalized and near death. What action by the nurse best demonstrates cultural care preservation?
a. Allowing the family to remain at the bed-side b. Pinning a healing amulet to the patient's gown c. Offering the family food and drink in the room d. Giving the family time to be alone with the patient