A schizophrenic client approaches a nurse with a look of distress and anguish on his face, saying, "Can't you hear him? It's the devil. He's telling me I'm going to hell." Which is the most appropriate response by the nurse?
A) "Did you take your medicine this morning?"
B) "You are not going to hell. You are a good person."
C) "There is no such thing as the devil. It's all in your mind."
D) "The voices sound really distressing and scary, but I don't hear them."
D
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The nurse is working in a prenatal clinic with a woman who has just learned that she is pregnant
The mother has been reading about the growth and development of children, and asks the nurse what is meant by critical stages of growth and development. Which of the following examples given to the mother by the nurse explains critical stages of growth and development? 1. The first four weeks of life are critical to the brain development of the newborn. 2. It is critical that the toddler begin to walk by 12 months of age. 3. It is critical that the preschool-age child gain 20 pounds a year. 4. The first 10 weeks after conception are considered critical to the fetus.
A hospice client is clearly dehydrated and the family is arguing over whether or not the client should receive intravenous fluids. The nurse would guide this discussion based on what know-ledge about dehydration in the terminally ill client?
a. If the terminally ill client complains of thirst, he/she is dehydrated. b. Peripheral edema in the terminally ill client indicates fluid overload. c. The emphasis of all treatments should be on comfort and reduction of symptoms. d. The only choices for hydration are oral and intravenous.
A patient is admitted with the diagnosis of acute pancreatitis. The nurse expects which of the following laboratory test results to be elevated? (Select all that apply.)
a. Calcium b. Serum amylase c. Serum glucose d. Potassium e. WBC f. Serum triglycerides
Multiple family units in an underserved neighborhood have children who have not been vaccinated per health guidelines. The nurse researches the problem and establishes a well-child clinic within walking distance to the neighborhood
The clinic is poorly attended. Which would be the nurse's best action to revise the program and improve attendance to the clinic? A) Determine whether the location of the clinic is not conducive to attendance. B) Discuss the problem of attendance at the next community council meeting. C) Interview members of the neighborhood to determine why they do not use the clinic. D) Discuss the problem with the local minister and request him to discuss the clinic at the next prayer service.