The patient believes that the CIA is "plotting to kill me.". The report is given with the patient exhibiting little emotion. The nurse documents the patient's affect as:
a. flat.
b. elated.
c. labile.
d. congruent.
A
Reporting significant life events with little emotional response suggests a blunted or flattened affect. Lability refers to swift shifts in affect. Congruent affect is appropriate emotional expression for the current circumstances. Elation is an exaggerated display of happiness. The patient is not showing fear or anxiety, which would be appropriate in this case, nor is the patient displaying exaggerated happiness, which would be inappropriate under the circumstances.
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When a community health nurse is conducting a family assessment on an assigned family, which of the following would be most appropriate?
A) Use quantitative data only to maintain objectivity. B) Interview one family member to avoid confusion and repeated information. C) Use a checklist format, completing the tool in the family's presence. D) Make several visits and accumulate data from all family members.
A child has been recently diagnosed with mild IDD. What information about this diagnosis should the nurse include when teaching the child's mother?
1. Children with mild IDD need constant supervision. 2. Children with mild IDD develop academic skills up to a sixth-grade level. 3. Children with mild IDD appear different from their peers. 4. Children with mild IDD have significant sensory-motor impairment.
The nurse is caring for a patient who has been taking androgens and has been admitted to the ICU following a car accident
What lab results will the nurse interpret as more indicative of androgen therapy than actual disease states? (Select all that apply.) A) Decreased thyroid function B) Increased creatinine levels C) Increased creatinine clearance D) Elevated liver enzymes E) Increased white blood cell (WBC) count
The client with suspected mitral valve prolapse asks the nurse about tests that will be done to confirm the diagnosis. Which is the best response by the nurse?
A) "A halter monitor will be used to confirm diagnosis." B) "An echocardiogram along with clinical symptoms will assist in diagnosis." C) "A chest x-ray will reveal a prolapse if present." D) "An ECG that presents a notched P wave will assist with diagnosis."