A patient performs ritualistic hand washing. What should the nurse do to help the patient develop more effective coping strategies?
a. Allow the patient to set a hand-washing schedule.
b. Encourage the patient to participate in social activities.
c. Encourage the patient to discuss hand-washing routines.
d. Focus on the patient's symptoms rather than on the patient.
ANS: B
Because patients with obsessive-compulsive disorder become overly involved in rituals, promoting involvement with other people and activities is necessary to improve the patient's coping strategies. Daily activities prevent the constant focus on anxiety and its symptoms. The other interventions focus on the compulsive symptom.
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The community health nurse is providing an educational class to a group of seniors on urinary tract infections. The nurse is correct when she informs the group that:
A) "The prevalence of UTIs in men older than 50 years of age is less than the prevalence of women in the same age group." B) "The prevalence of UTIs in men older than 50 years of age approaches that of women in the same age group." C) "The prevalence of UTIs in men older than 50 years of age is greater than the prevalence of women in the same age group." D) "The prevalence of UTIs in men cannot be measured, as men generally do not report UTIs."
Which statement is correct regarding IV amphetamines?
a. They are indicated for severe hypotension. b. They are not legally available. c. They are used in patients unable to take PO medications. d. They are contraindicated in patients with heart failure.
The health department is reviewing community health initiatives for the year. During the summer, health department focuses infection control activities on which of the following programs?
A) Administering immunizations B) Administering free antibiotics C) Using pesticides for mosquitoes D) Delivering fans to elderly residents
The nurse has been called to a hospital room where a patient is using a hair dryer from home. The patient has received an electrical shock from the dryer. The patient is unconscious and is not breathing. What is the best next step?
a. Ask the family to leave the room. b. Check for a pulse. c. Begin compressions. d. Defibrillate the patient.