While assessing a client thought to have a factitious disorder, the nurse asks the client to describe when she felt nurtured as a child. Which response would the nurse interpret as supporting the client's diagnosis?
A) "I never felt nurtured or loved when I was growing up."
B) "The only time I felt loved and appreciated was when I made the honor roll at school."
C) "The only time I ever felt loved was when I was sick enough to miss school."
D) "I felt loved and accepted when my father apologized for spanking me so hard."
C
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A patient returns from surgery for removal of a pituitary tumor that has not extended into the intracranial vault. The nurse observes a large amount of clear drainage from the nose
The nurse expects the physician to order a glucose test of the drainage to confirm a. that infection has not occurred. b. that a shift in osmolality has not occurred. c. that the drainage is postoperative serous drainage. d. that the drainage is CSF from a cerebrospinal leak.
During a physical assessment, the nurse notes a patient has profuse secretions of sweat. The nurse should document that the patient is experiencing:
a. dyspnea. b. cyanosis. c. diaphoresis. d. ecchymosis.
If you were describing the size of the nonpregnant uterus to a client, you would say it is about the size and shape of a:
a. cantaloupe. b. grapefruit. c. pear. d. large orange.
The nurse notices that an elderly client is up frequently during the night and not sleeping. Which of the following statements about the amount of sleep needed is correct?
a. The need for sleep increases with age. b. The need for sleep decreases with age. c. The need for sleep is not well correlated with age. d. Infants and the elderly need more sleep than young and middle adults.