Which findings listed in the medical record of a client with schizophrenia indicate a neurological
origin for schizophrenia?
a. A hostile, overinvolved parent and a weak, uninvolved parent
b. Enlarged or asymmetrical ventricles, cortical atrophy
c. Presence of ambivalence and flattened affect
d. Presence of delusions and hallucinations
B
Only option B relates to neurological findings. Options C and D refer to symptoms. Option A refers
to family dynamics.
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The nurse is preparing to assess a client for vascular dementia. What should the nurse ask the client during this assessment?
1. If the client has alterations of liver function 2. If the client has experienced a head injury 3. If the client has a history of smoking 4. If the client has Parkinson disorder
The nurse has received a phone call from a multigravida, who is 21 weeks pregnant and has not felt fetal movement yet. The best action for the nurse to take would be to:
1. Reassure the client that this is a normal finding in multigravidas. 2. Suggest that she should feel for movement with her fingertips. 3. Schedule an appointment for her with her physician for that same day. 4. Tell her gently that her fetus is probably dead.
When palpating the Bartholin's glands, the nurse expresses a purulent discharge. Which of the following would be most appropriate for the nurse to do next?
A) Recommend sitz baths. B) Palpate the uterus. C) Obtain a culture. D) Perform a rectal exam.
A 38-year-old woman takes clomiphene, an infertility drug that works by competing with, and thereby blocking, cellular receptors for estrogen. Which of the following statements is most likely to be true of this client?
A) Receptors for all other steroid hormones will also be blocked.
B) Up-regulation will increase the number of estrogen receptors on each target cell.
C) Estrogen will continue to pass freely through the cellular membranes.
D) Laboratory tests will reveal an increase in cyclic adenosine monophosphate (cAMP) levels.