The psychiatric nurse is asked to explain the primary focus in the assessment and treatment of mental illnesses during the mid-20th century. Given this request, the nurse would emphasize beliefs and actions related to which of the following?
1. Faulty life habits and interactions
2. Decay of intellect or of the nervous system
3. Classification of symptoms
4. Social dimension and drug treatment
4
Rationale: By the mid-20th century, psychiatric thinking was expanding and moving toward an emphasis on the importance of the social dimension in addition to the development of drug treatment. The belief that mental disorder was linked to faulty life habit and interactions was consistent with the late 19th and early 20th centuries. The belief that mental disorder was the product of intellect and nervous system decay and the emphasis on the classification of symptoms were more prevalent during the 18th and early 19th centuries respectively.
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A client is scheduled for a joint replacement surgery. Which of the following actions should a nurse take at this stage?
A) Ensure adequate fluid intake before the surgery. B) Withhold intake of solid food before the surgery. C) Withhold administration of aspirin before the surgery. D) Ensure adequate sleep before the surgery.
The patient who had a laryngectomy 3 months ago returns to the physician's office with the complaint of increasing dyspnea. The nurse recognizes this complaint as an indication of the common postlaryngectomy complication of:
1. hypertrophied stoma. 2. salivary fistula. 3. carotid blowout 4. tracheal stenosis.
A male client reports fluid secretion from his breasts. What does the nurse assess next in this client?
a. Posterior pituitary hormones b. Adrenal medulla functioning c. Anterior pituitary hormones d. Parathyroid functioning
Nurses should be aware that HELLP syndrome:
1. is a mild form of preeclampsia. 2. can be diagnosed by a nurse alert to its symptoms. 3. is characterized by hemolysis, elevated liver enzymes, and low platelets. 4. is associated with preterm labor but not perinatal mortality.