In comparing the major features of psychiatric theories, the nurse correctly concludes that:
1. Medical–psychobiologic and psychoanalytic theories focus on the individual client.
2. Social–interpersonal and medical–psychobiologic theories seek to change behavior through pharmacology.
3. Social–interpersonal and medical–psychobiologic theories are in direct opposition to the other.
4. Cognitive behavioral and psychoanalytic theories share the premise that behavior stems from the unconscious and requires the client to develop insight.
1
Rationale: Medical–psychobiologic theory focuses on the individual's genetics, immunology, biorhythms, brain structure, and brain biochemistry and psychoanalytic theory focuses on individual insight. Cognitive behavioral theory focuses on conscious feelings, thoughts, and meanings to develop interventions while psychoanalytic theory focuses on the role of the unconscious in developing insight. Social–interpersonal theory focuses on self and social systems while psychobiologic theories focus on psychopharmacology and other biologic therapies. Social–interpersonal and medical–psychobiologic theories can be used holistically to understand the full range of a person's health and response to illness.
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a. 18 mcg/min b. 30 mcg/min c. 0.3 mg/min d. 30 mg/hr
There is a radiologic dispersion bomb (dirty bomb) explosion in a subway station. In what order should the nurse deliver patient care at the scene of the explosion?
Choice 1. Begin direct patient care for complaints of fatigue and nausea. Choice 2. Decontaminate clothing of patients. Choice 3. Assess patients for burns and blunt trauma. Choice 4. Evacuate patients from the exposure area.
A patient with a history of depression reports not feeling well rested in recent weeks. Before making the assumption that the complaint is related to depression, a nurse should investigate whether the patient has had any recent changes in:
a. work schedule that affect the hours of sleep. b. vacations taken within the same time zone. c. fluid intake with reduced overall intake of water. d. food intake with decreased intake of heavy foods before bedtime.
The nurse is providing care to a patient with an intracranial pressure monitoring device. What is a priority when providing care to this patient?
1. Monitor intracranial pressure every 4 hours. 2. Perform neurologic assessment checks every 2 hours. 3. Use clean technique when working with the system. 4. Use strict aseptic technique when working with the system.