A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form. To determine criteria used to establish this diagnosis, the nurse should consult which resource?
a. Diagnostic and Statistical Manual of Mental Disorders
b. A nursing diagnosis handbook
c. A psychiatric nursing textbook
d. A behavioral health reference manual
A
The DSM-IV-TR gives the criteria used to diagnose each mental disorder. The distracters may not contain diagnostic criteria for a psychiatric illness.
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The nurse is caring for a patient with a history of schizophrenia who is admitted to a surgical unit for a cholecystectomy
The patient becomes extremely agitated when other patients are around and says, "They are going to kill me. Get me out of here." Which of the following interventions should the nurse assist with implementing in order to provide a therapeutic milieu for the patient? a. Help the patient clarify the meaning of the feelings b. Request an order for antipsychotic medications c. Suggest the patient be scheduled for a psychotherapy session d. Place the patient in a private room
A pregnant woman with gastroesophageal reflux disease (GERD) complains of a burning sensation in the esophagus. Which of the following suggestions should the nurse give her?
A) Avoid foods and beverages that lower pressure in the lower esophageal sphincter (LES). B) Inform the physician. C) Symptoms of GERD usually resolve after delivery. D) Avoid food and drink for several hours before bedtime.
You are teaching a nutrition class in the local high school. One student tells you that he has heard that certain foods can increase the incidence of cancer
You respond, "Research has shown that certain foods appear to increase the risk of cancer." Which of the following menu selections would be the best choice for reducing the risks of cancer? A) Smoked salmon and green beans B) Pork chops and fried green tomatoes C) Baked apricot chicken and steamed broccoli D) Liver, onions, and steamed peas
The nurse is preparing to send a cerebrospinal fluid sample to the laboratory. Which actions does the nurse implement during this procedure? (Select all that apply.)
a. Use Standard Precautions. b. Wear sterile gloves when handling the specimen. c. Place the specimen on ice. d. Send the specimen in a sealed bag dis-playing a biohazard symbol. e. Confirm the specimen label with the client's identification band.