A client who is diagnosed with schizoid personality disorder is isolative, does not speak to her peers, and sits through the community meeting without speaking. Her mother describes her as shy and having few friends
Which would be an appropriate nursing diagnosis for this client?
1. Anxiety related to a new environment as evidenced by isolation and not talking with peers
2. Impaired social interaction related to unfamiliar environment as evidenced by iso-lation and not talking with peers
3. Ineffective coping related to new environment as evidenced by isolation and minimal interaction with others
4. Disturbed thought processes related to a new environment as evidenced by isola-tion and minimal interactions with others
ANS: 2
This nursing diagnosis relates directly to her symptoms and their underlying pathology. Data are not present to support the other options.
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A nurse is assessing clients on a medical-surgical unit. Which client is at risk for hypokalemia?
a. Client with pancreatitis who has continuous nasogastric suctioning b. Client who is prescribed an angiotensin-converting enzyme (ACE) inhibitor c. Client in a motor vehicle crash who is receiving 6 units of packed red blood cells d. Client with uncontrolled diabetes and a serum pH level of 7.33
Calculate the fluid intake in milliliters (mL) for the following lunch. (Assume a glass holds 8 oz.)
1/2 glass 7-Up 1 cup applesauce 1 chicken salad sandwich 1/2 pt milk TOTAL = _____ mL a. 350 b. 370 c. 460 d. 620
When describing the state of homeostasis to nursing students, the nurse explains that:
A) it is a state of internal stability. B) it is a state of positive feedback. C) it is a state of flux and change. D) it is a state the drives the body away from its resting or set point.
During a well-child examination, the parents of a 4-year-old client inform the nurse that they are thinking of buying a television for their child's bedroom and ask for advice as to whether this is appropriate
Which response by the nurse is most appropriate? 1. "It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than 2 hours per day." 2. "Research has shown that watching educational television shows improves a child's performance in school." 3. "Don't buy a television for your child's room; he is much too young for that." 4. "Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children."