Casey Galen, a student nurse, conducts a dermatology in-service for nurses and students assigned to a medical surgical floor at the local hospital. Casey covers skin changes indicative of prolonged sun exposure and shows slides of precancerous lesions. Which of the following is descriptive of a precancerous keratotic lesion?
A. Raised, thickened areas of pigmentation, which look crusted, scaly, and warty
B. A raised, thickened, crusted area of dark pigmentation that looks "stuck on" and greasy
C. A raised, rough plaque of red-tan pigmentation with a silver-white scale
D. A raised, thickened, dry area of decreased pigmentation with a tightly packed set of papules
Answer: C. A raised, rough plaque of red-tan pigmentation with a silver-white scale
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A patient with depersonalization disorder tells the nurse, "It's starting again. I feel as though I'm going to float away.". Which intervention would be most appropriate at this point?
a. Advise her to begin meditation by slowing her breathing. b. Administer an as-needed antianxiety or sedative medication. c. Use guided imagery to help her visualize a pleasant scene. d. Engage her in a concrete, here-and-now activity such as singing.
An interdisciplinary health care team met 12 hours after an adolescent was hospitalized following a suicide attempt. What result can be expected from this meeting?
a. A treatment plan will be determined. b. The nurse will assume the surrogate parent role. c. The need for placement outside the home will be assessed. d. The team will request a court-appointed advocate for the patient.
A toilet-trained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and is having incontinent accidents during the day. How should the nurse address the parent's concern about this behavior?
1. "Maybe your child should be seen by a specialist, just to make sure there are no physical problems." 2. "It is normal for some children to go through a stage of regression after separation from their family or after an acute illness. Try not to be too discouraged." 3. "You'll have to be very strict with discipline, so your child knows this behavior is not acceptable." 4. "I'd be upset too. It must be hard to go back to using diapers."
A nurse manager has recently overheard several negative comments made by nurses on the unit about other nurses on the unit. The manager recognizes that the nurses are exhibiting what type of behavior that is detrimental to collaboration?
a. Vertical violence b. Lateral violence c. Descending violence d. Personal violence