A client admitted to a Veterans Administration (VA) hospital with a diagnosis of major depressive disorder tells the nurse, "I failed my battalion by giving the wrong order. Fortunately, no one was injured"
Which nursing diagnosis should the nurse assign to this client? A. Chronic low self-esteem
B. Risk for self-directed violence
C. Powerlessness
D. Situational low self-esteem
D
Emotional responses are largely dependent on cognitive appraisals of the significance of environmental cues. The nursing diagnosis of situational low self-esteem is used for individuals who have a negative perception of self-worth in response to a current situation. This client's cognitive appraisal of the situation has led to the diagnosis of major depressive disorder and low self-esteem.
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Which of the following assessment parameters is a priority in a biobehavioral model of practice?
a. Blood chemistry b. Physiologic needs c. Coping mechanisms d. Psychosocial level
A nurse is working with a patient who has a diagnosis of obsessive-compulsive personality disorder. It is important for the nurse and patient to discuss:
1. The effect of anger on perfectionism 2. The need to feel superior 3. The link between anxiety and perfectionism 4. The need for medication
Most children with AIDS contracted their disease (Select all that apply.)
a. during intrauterine life with an HIV-positive mother. b. during the birth process of an HIV-positive mother. c. from other children who are HIV positive. d. from receiving a transfusion contaminated with the HIV virus. e. from breast feeding by an HIV-positive mother.
When a distinction must be made as to whether a client is demonstrating confusion related to
depression or dementia, what nursing assessment would be of particular value? a. The client with dementia is pervasively angry and hostile. b. Early morning agitation and hyperactivity are present in dementia. c. The depressed client is preoccupied with leaving the facility to return home. d. Confusion seems to worsen at night when dementia is present.