A client insists that his wife is having an affair despite repeated confirmation from her that she is faithful. These beliefs began abruptly about a month ago, after the couple returned from a vacation
The client shows no other signs of any personality or functional disturbances except for his firm belief about his wife's infidelity. When the client is found spying on his wife's boss at her office, a judge orders him to undergo a 10-day psychiatric evaluation. What is the most likely psychiatric diagnosis for James?
A) Delusional disorder or NOS
B) Induced psychotic disorder
C) Delusional disorder, erotomanic type
D) Conjugal paranoia
Ans: D
In delusional disorder of the erotomanic type, the client has an erotic delusion of being loved by another person and tries to contact the object of the delusion through such behaviors as sending gifts, calling, and stalking. The object of the undesired attention may be a complete stranger and usually is of higher status. In a psychotic disorder, a delusion of suspicion occurs within the context of a close relationship. The individual may believe that someone has an inappropriate or sexual interest in him. Schizophreniform disorder involves bizarre delusions and hallucinations of less than 6 months duration. Conjugal paranoia is a delusion that the spouse is being unfaithful.
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A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would be most suspicious for abuse is:
1. "I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor." 2. "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor." 3. "I placed the baby in the infant swing. His 6-year-old brother was running through the house and tripped over the swing, causing it to fall." 4. "I was walking up the steps and slipped on the ice, falling while carrying my baby."
The nurse would measure vital signs more frequently than every 4 hours for which of the following clients?
1. The client with a diagnosis of terminal cancer admitted for palliative care 2. The client who is 6 days postoperative and is to be discharged tomorrow 3. The client admitted as an outpatient for 12 hours while receiving a blood transfusion 4. The client who is 36 hours postoperative and stable
A community health nurse is a member of a group working to respond globally to communicable disease. Which activity would the group be involved with first?
A) Surveillance B) Case finding C) Control D) Elimination
The nurse knows that the patient taking aripiprazole (Abilify) 20 mg/day PO requires which specific follow-up assessment?
1. Vital signs each visit 2. Height and weight at each visit 3. Weekly assessment for extrapyramidal symptoms 4. Every six month checks for tardive dyskinesia