The client automatically assumes that everyone is out to harm, deceive, or exploit her. She often feels deeply injured by others, even when no evidence exists. Her behavior is de-scribed as
1. paranoid.
2. pleasant.
3. schizoid.
4. narcissistic.
1
Individuals with a paranoid personality disorder have a pattern of behaviors marked by sus-picion and mistrust. They automatically assume that everyone is out to harm, deceive, or exploit them.
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A nurse recognizes that a system of health-care delivery aimed at managing the cost and quality of access to health care is known as
1. Medicaid. 2. Medicare. 3. Managed care. 4. Private insurance.
The client sustains a minor leg abrasion and stops breathing for a few seconds during a grand mal seizure. Which is the best nursing documentation after the client's seizure?
1. Type of muscle contractions 2. Size and description of abrasion 3. Length of client's apneic episode 4. Description of the seizure in detail
The home care client has a history of fecal impaction. Which does the nurse instruct the home health aide to complete to prevent another fecal impaction?
1. Provide the client with low-residue foods. 2. Notify provider for client abdominal pain. 3. Administer cleansing enema every 3 days. 4. Assist client to take additional fluids daily.
A client complaining of abdominal pain and irregular bowel movements arrives at a healthcare facility. The nurse assesses the bowel sounds with a stethoscope and concludes that the bowel sounds are too low to be normal. Based on this information, what type of observation is the nurse completing with the client?
A) Olfactory observation B) Auditory observation C) Tactile observation D) Visual observation