A patient with suspected seasonal affective disorder asks the nurse, "I've been feeling down for 3 months. Will I ever feel like myself again?" The response that builds on an understanding of this disorder is:
a. "Spontaneous improvement usually comes in 6 months to a year."
b. "Can you tell me what you mean when you say ‘feel like myself'?"
c. "People who have seasonal mood changes often feel better when spring comes."
d. "Usually patients with this disorder see improvement during the fall and winter."
ANS: C
Seasonal affective disorder is a condition in which the patient experiences depression begin-ning in the fall, lasting throughout the winter, and remitting in spring in the northern hemi-sphere. Fall and winter is not reflective of any diagnostic category of mood disorder. Spon-taneous improvement occurs only with the change of seasons and available sunlight. Ques-tioning is a response that does not address the point of understanding SAD.
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A 72-year-old man with pain issues is being given a drug by the intramuscular route. His serum blood level concentrations have been erratic. The nurse suspects that this may be due to
A) altered gastric pH levels. B) increased levels of plasma albumin. C) decreased blood flow to tissues and muscles. D) decreased gastrointestinal motility.
A nurse is creating a plan of care for an obstetric patient receiving tocolytic medications. The nurse provides patient education about the medication
The nurse asks the patient, "What out-come do we want to see as a result of the tocolytic therapy?" Which response by the patient best demonstrates understanding of this medication? a. "I will have sufficient milk production." b. "The medication will directly affect my comfort level." c. "The delivery will be postponed at least 24 hours." d. "My breasts will be soft but not engorged."
When caring for a woman in her 6th month of pregnancy, she reports her plans to nurse her baby for at least 2 to 3 years like the rest of the women in her family. Based upon your knowledge, you
A) advise her to be careful who she discusses this with as many will consider that a type of reportable child abuse. B) document her report but do nothing as this is a cultural belief that should be respected. C) encourage her to start the baby on formula after the first year as recommended by many physicians. D) discuss how painful this will be once the baby has teeth.
Which technique is used during both the history taking and the physical examination process?
a. Auscultation b. Inspection c. Palpation d. Percussion