The nurse can expect to find which assessment findings in a patient who is hypomanic?
a. Psychomotor symptoms more severe than mania
b. Some motor hyperactivity but depressive affect
c. Clinical symptoms less severe than those of a manic state
d. Grandiosity, distractibility, flight of ideas, and excessive psychomotor activity
C
Hypomania is a state just below mania at which psychomotor activity and other symptoms are less pronounced than those observed when a patient is in the manic state.
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When participating in a peer evaluation, the nurse should:
a. assess the personality of the individual. b. measure the quality of care against professional standards. c. consider the popularity of the individual. d. document the findings so that the information will be used as the major basis for pay raises and promotion.
A patient in the critical care unit had a seizure that was determined to be caused by a low blood glucose level. The patient's blood glucose level is currently normal. Which additional intervention should be implemented to prevent future seizure activity in this patient?
1. Administer Valium orally twice each day. 2. Establish a low-dose continuous phenytoin infusion. 3. Increase the frequency of blood glucose assessment. 4. Frequently monitor brain wave activity.
A 14-year-old is admitted to the hospital for the second time for treatment of anorexia nervosa. Her response to your questions on admission are either yes, no, or no response
Initially, your primary nursing goal in caring for this adolescent would be to A) encourage her to eat a nutritious diet. B) develop rapport for a trusting relationship. C) decrease her anxiety. D) relieve her anger.
A patient develops increasing dyspnea and hypoxemia 2 days after heart surgery. To determine whether the patient has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by heart failure, the nurse will plan to assist with
a. obtaining a ventilation-perfusion scan. b. drawing blood for arterial blood gases. c. insertion of a pulmonary artery catheter. d. positioning the patient for a chest x-ray.