In a client with a conversion disorder who reports blindness, ophthalmologic examinations reveal that no physiologic disorder is causing progressive vision loss. The most likely source of this client's reported blindness is:
A. a family history of major depression.
B. having been forced to watch a loved one's torture.
C. noncompliance with a psychotropic medication regimen.
D. daily use of antianxiety agents and alcoholic beverages.
Answer: B. having been forced to watch a loved one's torture.
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A community health nurse meets with a group of adults at the local senior center. They range in age from 65 to 70 years. The nurse would recommend vision screening at which frequency?
A) Every year B) Every 2 years C) Every 5 years D) Every 10 years
A nurse and an elderly client with chronic back pain are in the working phase of the nurse–client relationship. Which of the following activities occur in the working phase?
A) The client identifies one or more health problems. B) The nurse tries to avoid retarding the client's independence. C) The nurse is courteous and actively listens to the client. D) The nurse ensures that the client manages independently.
The nurse has been assigned to care for several postoperative patients. The nurse is aware that the patient most likely to develop thrombophlebitis is the patient:
a. with a history of blood clots who is being discharged following an outpatient chole-cystectomy. b. who is 6 days postoperative for total right hip replacement and has a history of left-sided stroke. c. who has had major abdominal surgery and was dehydrated upon admission. d. who is 2 days postoperative for hernia re-pair with a history of diabetes.
A patient in the emergency room has status epilepticus. The nurse should anticipate administration of
a. diazepam (Valium). b. buspirone (BuSpar). c. clorazepate (Tranxene). d. chlordiazepoxide (Librium).