A psychiatric nurse is performing a mental status examination (MSE) on a newly admitted client. Elements of an MSE include:
A) Erikson's stage of development.
B) Medical review of systems.
C) Appearance, behavior, speech, mood, affect, intelligence, sensorium, and thought.
D) The family's communication patterns.
C
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A nurse notes that a child has clubbed fingernails. Which laboratory finding would the nurse correlate with this assessment?
A. Hemoglobin: 16 g/dL B. PaCO2: 43 mm Hg C. PaO2: 72 mm Hg D. White blood count: 8,500 mm3
Your client has just been diagnosed with a dysrhythmia. The client asks you to explain normal sinus rhythm. What would you explain is the characteristic of normal sinus rhythm?
A) Heart rate between 60 and 150 beats/minute. B) Impulse travels to the atrioventricular (AV) node in 0.15 to 0.5 second. C) The ventricles depolarize in 0.5 second or less. D) The sinoatrial (SA) node initiates the impulse.
Which of the following can cause microcephaly? Select all that apply
a. Syphilis b. Rubella c. Genetic defects d. Bacterial meningitis e. Intrauterine infections f. Drug or alcohol ingestion during pregnancy
A nurse is teaching a class to a group of pregnant women. The nurse asks the participants to identify the signs and symptoms of preterm labor, which would necessitate contacting the physician
Which response by one of the participants would indicate to the nurse that further clarification is needed? (Select all that apply.) a. Constipation d. Vaginal bleeding b. Dull back ache e. Lower abdominal pressure c. Menstrual-like cramping f. Uterine contractions every 40 minutes