When you work with a client with the DSM-IV diagnosis of Major Depression, you might expect to have a nursing diagnosis of:
a. Potential Risk for Violence to Self
b. Personal Identity Disturbance
c. Perceptual Sensory Alterations
d. Potential Parental Role Conflict
A
A client with a DSM-IV-TR diagnosis of Major Depression would have a nursing diagnosis of Potential Risk for Violence to Self. Clients with major depression may experience feelings of hopelessness and low self-esteem. Nursing actions would be directed at preventing the client from harming him- or herself.
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The daughter of a 67-year-old client hospitalized for pneumonia voices concerns to the nurse about the hospital bills. The daughter asks if her mother is old enough to qualify for Medicaid. What information should the nurse provide to the client?
A) Medicaid is available to individuals once they reach the age of 65. B) Medicaid is intended to assist low-income individuals over the age of 65. C) Older adults are eligible for Medicaid if they are planning to enter a long-term care facility. D) Eligibility for Medicaid is based upon income, not age.
Nurses should be aware that accelerations in fetal heart rate are:
1. indications of fetal well-being when they are periodic. 2. are greater and longer in preterm gestations. 3. are usually encountered with breech presentations when they are episodic. 4. may visibly resemble the shape of the uterine contraction.
Ms. Washington is a 67-year-old who had a heart attack last month. Now she complains of shortness of breath and not being able to sleep in a flat position (orthopnea). On examination you note increased jugular venous pressure, an S3 gallop, crackles low in the lung fields, and swollen ankles (edema). This is an example of a:
A) Pathophysiologic problem B) Psychopathologic problem
Which of the following statements best describes the term crowd then used to describe peer relationships?
a. an association of two to four cliques with relations less intimate than in the cliques b. a large number of peers who gather periodically to socialize c. the number of people that then exceeded makes socialization uncomfortable d. five or more people who are engaged in observational and encouraging behaviors