The mother of a child describes her child's "annoying behavior" as not being able to sit still or to stop jerking his arms when told to. Which disorder does the nurse suspect?
a. Tourette's disorder
b. Oppositional-defiant disorder
c. Pervasive developmental disorder
d. Attention-deficit/hyperactivity disorder
ANS: A
The parent describes simple motor tics that are involuntary behaviors and characteristic of Tourette's disorder. The child is not being defiant because he has no control of the tics. Alt-hough the child displays repeated motor behaviors, they are unrelated to hyperactivity be-cause they are not generalized and occur only sporadically. These involuntary tics are not seen in pervasive developmental disorders such as autism.
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A patient with heart failure tells the nurse that she is "allergic" to angiotensin-converting enzyme (ACE) inhibitors because they make her cough "all of the time." What does this information suggest to the nurse?
1. The patient should not take an angiotensin receptor blocker because of the ACE inhibitor allergy. 2. The patient's asthma has been exacerbated by the use of ACE inhibitors. 3. The patient experienced a side effect of the ACE inhibitor, which is a cough. 4. The patient's cough is due to long-standing heart failure.
What recently learned information about a client who is scheduled to have surgery within the next 2 hours is the nurse certain to communicate to the surgical team?
a. An allergy to cats b. Hearing problem c. Consumption of a glass of wine 12 hours ago d. Taking 2000 mg of vitamin C each day
A patient was recently diagnosed with Hodgkin disease. The nurse provided education for the patient and the patient's spouse. Which patient statements indicate the need for further education?
Select all that apply. 1. "The physician is ordering radiation therapy for me." 2. "My white blood cell count was low and my red blood cell count was high, and that helped the physician diagnose me." 3. "The doctor has classified my Hodgkin disease as stage III because I have involved lymph nodes in my liver and in my spleen." 4. "One out of every four patients without symptoms of Hodgkin disease dies of this disease." 5. "Because I had a heart attack in the past, the physician will probably prescribe rituximab for me."
What is an example of a nursing theory that has been described as a grand theory?
A) Adaptation Model B) Theory of Caring C) Science of Unitary Human Beings D) Theory of Human Becoming