You know your patient has a personality disorder. He tells you, "You are the best nurse
I am so glad you are here today and not that mean nurse who was here yesterday." Which personality disorder would be most associated with this statement?
A.
Paranoid
B.
Antisocial
C.
Passive aggressive
D.
Borderline
ANS: D
A common characteristic of borderline personality is to see people as all good and all bad and attempt to pit one against the other to "split" the staff.
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The nurse is planning care for a pediatric client recovering from surgery to repair a congenital heart defect. Which intervention should the nurse include to support the client's fluid status?
A) Encourage fluids. B) Limit fluids. C) Monitor pain. D) Maintain intravenous therapy until day before discharge.
The nurse completes preparation of the sterile field to change a patient's dressing when the patient's dinner tray arrives. Which action should the nurse take?
a. Use the sterile field on another patient in another room. b. Change the dressing using clean technique to save time. c. Set the tray aside and proceed with the dressing change. d. Cover the setup with a sterile drape and let the patient eat.
You are performing a review of systems on an 8-month-old infant. The infant is awake and calm. What would be the best way to begin this exam?
a. Perform the most distressing part of the exam first b. Examine the heart, lungs, and bowel sounds c. Perform the rectal temperature first d. Look at the patient's chart to see what was done first on the previous shift.
Which cultural considerations should a nurse identify with Western European Americans?
A. They are present-time oriented and perceive the future as God's will. B. They value youth, and older adults are commonly placed in nursing homes. C. They are at high risk for alcoholism due to a genetic predisposition. D. They are future oriented and practice preventive health care.