A patient diagnosed with dissociative identity disorder is in the emergency department after attempting suicide. After a thorough assessment the nurse determines the attempted suicide was in response to which event?
1. Drug abuse and living homeless on streets
2. Childhood sexual abuse by biological father
3. Unidentified continuous abdominal and neck pain
4. Multiple somatic and psychological issues over the past 6 months
Answer: 2
Explanation: Patients with dissociative identity disorder have sustained horrific physical and psychological abuse over time. These events lead to the patient experiencing multiple ego states that help the patient survive the trauma. Suicidal ideation is common among patients with this disorder. The other answer choices are not indicative of dissociative identity disorder.
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Nursing continues to recognize and participate in collaboration with other health care disciplines to meet the complex needs of the patient. Which of the following is the best example of a collaborative practice model?
A) The nurse and the physician jointly making clinical decisions. B) The nurse accompanying the physician on rounds. C) The nurse making a referral on behalf of the patient. D) The nurse attending an appointment with the patient.
With the patient in a sitting position and using the palmar surfaces of the fingers of the dominant hand, you should palpate the breast tissue
a. against the chest wall in a large-breasted patient. b. in an upward manner while supporting the breast with the nondominant hand. c. initially in the outer quadrants, moving to the sternal border of each breast. d. in a circular pattern, moving from the nipple toward the outer aspects.
A nurse is assessing a 77-year-old male admitted to the unit for suspected liver dysfunction. What assessment finding will the nurse expect to find?
A) Liver function results change dramatically in the older adult. B) Metabolism of medications is delayed primarily by the liver. C) The liver is enlarged with hard edges. D) The liver is decreased in size and weight.
The 65-year-old overweight, hypertensive male farmer tells the home health nurse that he eats two fried eggs, four pieces of bacon, and biscuits with gravy every morning for breakfast because he believes that a robust breakfast keeps him healthy
What would be the most appropriate response by the nurse? a. "That sort of food is not on your low-sodium diet." b. "You won't be healthy long with a diet like that." c. "One egg and whole wheat toast would be even healthier." d. "You should eat whole-grain cereal with fruit instead of all that fat and sodium."