A nurse assessing an elderly patient for depression and suicide potential should include questions about mood as well as: (select all that apply)
a. anhedonia.
b. increased appetite.
c. sleep pattern changes.
d. evidence of grandiosity.
e. increased concerns with bodily functions.
ANS: A, C, E
The correct responses relate to symptoms often noted in elderly patients with depression. Somatic symptoms are often present but missed by nurses as related to depression. Anorexia, rather than hyperphagia, occurs in major depression. Grandiosity is associated with bipolar disorder.
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The nurse knows that the dehydration associated with diabetic ketoacidosis results from
a. increased serum osmolality and urea. b. decreased serum osmolality and hyperglycemia. c. ketones and potassium shifts. d. acute renal failure.
Which of the following patients may have trauma to abdominal organs?
1. A 30-year-old construction worker who fell from a second-story roof but managed to land on his feet 2. A 17-year-old male with a gunshot wound to the right buttock 3. A 50-year-old male with a stab wound 4 cm inferior to the right scapula 4. A 45-year-old female restrained driver of an SUV with a moderate-speed frontal impact A) 1, 2, 3, 4 B) 3, 4 C) 4 D) 1, 3, 4
The LPN is working for a physician who participates in an HMO and will be assisting with the billing. What type of information regarding capitation does the nurse need to understand?
A) Fees are not based on the number of services provided but rather are projected to the number of participants and expected services. B) Fees are based on the number of services that the primary care provider bills for. C) The HMO makes money based on the degree of illness and number of diagnostic tests that are done. D) The fees that are charged are different even with the same diagnosis.
The nurse is collecting objective data from the client with lymphedema of the left leg. The nurse observes that the affected leg is 10 cm greater in measurement than the unaffected leg. The affected leg is hot to the touch and red
What classification of lymphedema does the nurse recognize this client has? A) Grade I (Mild) B) Grade II (Moderate) C) Grade III (Severe) D) Grade IV (Extreme)