Which of the following statements made by a client diagnosed with depression would indicate that she may have a thought disorder?
A) "I'm so angry. Wait until my daughter hears about this!"
B) "I'm a little confused. What time is it?"
C) "I can't find my mesmer foot holders. Have you seen them?"
D) "I'm fine. It's my husband who has the problem."
Ans: C
The incorrect answers reflect cognitive awareness and clear thought, while the correct answer reveals that the client has made up a new word (neologism) for her shoes, which indicates the presence of a thought disorder.
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A client being prepared to have a bone marrow transplant expresses concern the procedure will be painful. The nurse explains:
A) "A local anesthetic is given and so you won't feel any pain." B) "The procedure is very quick and not very painful." C) "You will be given some analgesic since it can be painful." D) "It should not be any more painful than having an injection."
A patient prescribed an antiseizure drug tells you that his favorite morning drink is grapefruit juice. What is your best action?
a. Call the diet kitchen to order grapefruit juice with the patient's breakfast tray. b. Ask the patient if he would like to have grapefruit juice added to his dinner tray. c. Instruct the patient to drink at least 8 ounces of water with each glass of grapefruit juice. d. Teach the patient to avoid grapefruit juice because it can increase the effects of these drugs.
By the second postpartum day, the nurse would expect a new mother who had an uncomplicated vaginal birth to:
1. request help with ambulation and perineal care. 2. be interested in learning more about infant care. 3. sleep most of the time when the infant is not present. 4. be very excited and talkative about the birth experience.