According to the DSM-IV-TR, anxiety is considered excessive when it:
a. occurs more than once a day
b. is present more days than not for a period of 6 months or more
c. causes the person to change his or her plans one or more times per week
d. results in a person staying at home
B
According to the DSM-IV-TR, anxiety is considered excessive when it is present more days than not for a period of 6 months or more. Anxiety over this long period of time will begin to interfere with the individuals ability to function appropriately.
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Patients experiencing emotional or physical pain may exhibit similar signs, such as a pained facial expression. Which sign is most likely to indicate emotional pain rather than physical pain?
a. labored breathing and speech, wheezing, and shortness of breath b. facial grimacing, crying, and moaning c. diaphoresis, tachycardia, and physical protection of the painful area d. excessive nail-biting, tearfulness, and avoidance of eye contact
The nurse is administering eye drops to a patient with glaucoma. To achieve maximum absorption, the nurse should instill the eye drop into the:
A) Conjunctival sac B) Pupil C) Sclera D) Vitreous humor
The client has been admitted to the hospital with aspiration pneumonia after a traumatic brain injury produced an impaired ability to swallow. Which of the following activities is least important to be performed for this client?
1. Nutrition screening activities 2. Nutrition history 3. Head-to-toe physical assessment 4. Laboratory-based diagnostic testing
The nurse is doing a follow-up home visit to a family who lost their 3-month-old infant to SIDS 8 weeks ago. The mother answers the door in her nightgown, with hair uncombed
During the interview, the mother states: "I don't see the point of getting dressed each day." Which stage of grief will the nurse document based on the current data? 1. Recovery 2. Yearning, pining 3. Hostile 4. Disorganization