A client with posttraumatic stress disorder (PTSD) has begun to stay out late every night and "party" with their friends. When family members ask about when the client is going to return to work,
they become extremely irritated and verbal lashes out, saying some very hurtful things. The priority NANDA for this client would be which of the following?
A) Risk of relocation stress syndrome
B) Ineffective activity planning
C) Anxiety
D) Ineffective impulse control
Ans: D
Depending on the trauma, posttrauma syndrome, rape trauma syndrome, risk for suicide, anxiety, defensive coping, hopelessness, ineffective impulse control, and powerlessness are examples of nursing diagnoses generated by assessment of a client with PTSD.
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A child receives a combination of regular and NPH insulin at 8:00 AM. At 8:45 AM the breakfast trays have not yet arrived from the kitchen. What is the best action by the nurse?
a. Notify the charge nurse. b. Give the patient a snack of graham crackers and milk. c. Ambulate the patient in the hall for a short time. d. Give the patient more insulin according to the sliding scale.
Using Piaget's theory of cognitive development, the nurse expects preschoolers will: Standard Text: Select all that apply
1. Be egocentric and fail to see another's point of view. 2. Focus on many aspects of a given situation at once. 3. Assume everyone else in their world sees things as they do. 4. Believe they have magical powers of thought to control the universe. 5. Understand cause-and-effect relationships
Which of the following statements made by a parent of a child with nephrotic syndrome indicates an understanding of a no-added-salt diet?
a. "I only give my child sweet pickles.". b. "My child just puts a little salt on his food.". c. "I let my child have ‘slightly' salted potato chips.". d. "I do not put any salt in foods when I am cooking.".
A nurse differentiates between dementia and depression in an older adult. Which of the following assessment findings leads the nurse to believe that the client has depression?
A) The client has socially unacceptable behaviors. B) The client is negativistic. C) The client's mood fluctuates. D) The client's mood is distractible.