A priority focus of milieu management for a patient diagnosed with dissociative identity disorder (DID) should be
a. ensuring safety.
b. stimulating memory return.
c. insight-oriented group therapy.
d. gathering data about family relationships.
A
Patients with DID have a host personality and one or more alternates. It is not unusual for one of the alternate personalities to be depressed and wish to commit suicide or for a personality to wish to harm the others. Safety is the priority concern in care.
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A nurse is providing health education for the family of a patient who has a substance use disorder. How should the nurse best explain the etiology of this disorder?
A) "Substance abuse is multifactorial and involves genetics, personality, and culture." B) "Substance abuse is considered to be primarily a cultural concept, since definitions vary widely across time and place." C) "Many different factors contribute to substance abuse, but the primary ones are lack of willpower and impaired coping." D) "Substance abuse is a complex phenomenon, and science has not yet begun to truly understand the phenomenon."
Which of the following would be considered an abnormal finding when the nurse practitioner uses an otoscope to look at a toddler's ear? The tympanic membrane is described as
A) "transparent." B) "a shallow, oval cone pointing inward toward apex." C) "small, whitish cord seen traversing the middle ear from back to front." D) "yellow, amber discoloration noted."
Which of the following is true about a patient diagnosed with sinus arrhythmia?
a. The heart rate varies, dependent on vagal tone and respiratory pattern. b. Immediate treatment is essential to prevent death. c. Sinus arrhythmia is not well tolerated by most patients. d. PR and QRS interval measurements are prolonged.
For the patient with no healthcare coverage who is seeking medical care, the emergency department staff members decide whether to provide care or transport to a public facility based on which law, enacted by Congress in 1986 and updated in 2003?
1) Health Care Quality Improvement Act (HCQIA) 2) Patient Self-Determination Act (PSDA) 3) Newborns' and Mothers' Health Protection Act (NMHPA) 4) Emergency Medical Treatment and Active Labor Act (EMTALA)