The nurse attempting to establish a relationship with a severely withdrawn schizophrenic client tells
a preceptor that her frustration level is rising daily because the client turns his head away each time
she sits down near him.
The nurse states "I am beginning to wonder what is wrong with me as a
nurse.". The preceptor could be most helpful by explaining that withdrawn clients with schizophrenia
a. universally fear sexual involvement with therapists.
b. are socially disabled by the positive symptoms of schizophrenia.
c. exhibit a high degree of hostility by demonstrating rejecting behavior.
d. avoid relationships because they become anxious with emotional closeness.
D
When an individual is suspicious and distrustful and perceives the world and the people in it as
potentially dangerous, withdrawal into an inner world can be a defense against uncomfortable levels
of anxiety. When someone attempts to establish a relationship with such a client, the client's anxiety
rises until trust is established. The truth of option A is not borne out by the evidence. Options B and
C: These options are not considered true in most cases.
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After successful treatment for a myocardial infarction, a 69-year-old man has developed a ventricular arrhythmia. His care team has opted for treatment with a Class II antiarrhythmic
The nurse would understand that this patient is likely to be prescribed A) acebutolol. B) lidocaine. C) amiodarone. D) verapamil.
The nursing shortage cycles over the past few decades have been primarily driven by factors including which of the following (select all that apply)?
a. Aging of current nurses and inability of hospitals to meet nursing salary demands b. Younger nurses in the workforce and their preference for nontraditional nursing jobs c. Significant changes in the health care de-livery system as the nation moves into health care reform d. Aging of the American population and struggles to expand capacity to meet de-mand for care e. Lower numbers of students entering nurs-ing as a career and a shift in need for both bachelor's- and mas-ter's/doctorate-prepared nurses
You are the nurse caring for a patient who will receive a transsacral block. In what surgeries would a transsacral block be useful for pain control?
A) Thoracotomy B) Inguinal hernia repair C) Breast reduction D) Closed reduction of a right humerus
A patient is diagnosed with duodenal ulcers caused by a highly acidic gastrointestinal environment. The nurse explains that this condition may be related to deficiency in which hormone?
1. Secretin 2. Lipase 3. Elastase 4. Amylase