A client comes to the ED stating that he suddenly went deaf. Physical examination and diagnos-tic tests reveal no organic pathology
The client's wife tells the nurse that her husband overheard her telling a friend on the phone that she planned to ask her husband for a divorce. In order to provide the family with appropriate teaching, the nurse use the formulation that the client has:
1. Invented the symptom and can really hear all that is happening
2. Probably had a small stroke that did not show up on the scans
3. Developed the symptom as a protection from overwhelming anxiety
4. Will very likely experience other sensory perceptual losses in the near future
ANS: 3
The scenario suggests that the client is experiencing symptoms of conversion disorder, an anxiety disorder in which the symptom affects voluntary sensory or motor function and mimics a neuro-logical disorder. There is no organic basis for the symptoms, but the symptoms are not under the client's voluntary control. 1. This is not the case; the client does not fake conversion symptoms. 2. This is untrue; no organic pathology is present in conversion disorder. 4. One episode of con-version disorder does not suggest that various other conversion symptoms will arise.
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A CNO (chief nurse officer) is considering a collaborative effort with a school of nursing to offer externships to students. The CFO (chief financial officer) rejects the proposal because it will cost the organization
Which statement by the CNO would influence the CFO to reconsider this proposal? 1. ?Nursing is the foundation of this hospital and we have to get nurses into the organization.? 2. ?We could hire the students as nurse?s aides, which would save costs.? 3. ?An externship will allow the nursing students to work with nurses, learn about the organization, and create a positive impression of our facility.? 4. ?Offering a nurse externship would allow the organization to create the types of nurses we would like to hire.?
The nurse notes that an 84-year-old male returning from the operating room (OR) after postinguinal hernia repair has fluid volume excess and is at risk for left-sided heart failure
Which of the following signs and symptoms indicates left-sided heart failure? A) Jugular vein distention B) Right upper quadrant pain C) Bibasilar fine crackles D) Dependent edema
The nurse is conducting a class for expectant parents who need genetic counseling. Which statement by a parent would indicate the need for further education?
1. "The reason men and women are so different from one another is that none of their chromosomes are alike.". 2. "Half of the sets of chromosomes come from the mother and the other half come from the father.". 3. "The 23rd pair of chromosomes will determine if our child will be male or female.". 4. "One Y chromosome and one X chromosome will produce a male child.".
After conducting a preoperative health assessment, the nurse documents that the client has physical assessments supporting the medical diagnosis of emphysema. Based on this finding, what postoperative interventions would be included on the plan of care?
A) Perform sterile dressing changes each morning. B) Administer pain medications as needed. C) Conduct a head-to-toe assessment each shift. D) Monitor respirations and breath sounds.