The nurse chooses to interview a family in the clinic office. Which of the following provides the rationale for this decision?
a. Nurse's territory will provide the nurse with power
b. More formal setting may allow for better discussion of family issues
c. Nurse will feel more comfortable
d. Environment of the family can be assessed
ANS: B
Choosing a more formal, less personal setting might help the family begin discussion of emotion-ally charged issues, so it is an advantage for the nurse to suggest the clinic office. A disadvantage of not seeing the everyday family environment is that it may reinforce a possible culture gap be-tween the family and the nurse. It should not provide more power to the nurse and should not be done only to help the nurse feel more comfortable.
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The husband of a bipolar client asks the nurse what causes manic disorder. The nurse should respond
that the actual cause has not been determined but that a. several factors, including heredity, may have roles. b. excess norepinephrine is probably a major factor. c. brain structures have been altered by stress early in life. d. bipolar clients may have excess dopamine receptors.
A client with trigeminal neuralgia is about to undergo surgery for pain relief. The client asks, "How will this surgery relieve my pain?" How does the nurse respond?
a. "The surgeon will cut the connection be-tween the cranial nerves." b. "The surgeon will use an electrode to by-pass the trigeminal nerve conduction." c. "An incision is made into the nerve itself, and an anesthetic is applied to the area." d. "A small artery compressing the nerve will be relocated."
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1. "It's never too early to teach a child to wear a helmet when riding a bicycle." 2. "Teaching simple handwashing is a good topic at this age." 3. "Tell the child over and over to stay away from water unless you are with him." 4. "Tell him firmly ‘no' when he tries to cross the street."
Which statement is correct regarding the use of atypical antipsychotic agents?
1. They affect only the positive symptoms of schizophrenia. 2. They affect only the negative symptoms of schizophrenia. 3. They cause more extrapyramidal symptoms. 4. They commonly cause weight gain.