Following the death of his wife of 50 years, the hospice nurse notices that the surviving husband's affect is flat, he states that he has stopped attending the weekly card club he belongs to, and he voices difficulty in making decisions on a daily
basis. The caregiver knows that this client is displaying the characteristics of the dissociative disorder of: a. Dissociative fugue
b. Dissociative amnesia
c. Dissociative identity disorder
d. Depersonalization disorder
D
Depersonalization serves as a defense mechanism in response to severe anxiety. The person often is described as "working on automatic" or "functioning as a robot." The characteristics listed describe the behavioral or social signs and symptoms of depersonalized disorder. Fugue is characterized by traveling that occurs suddenly and unexpectedly with no recall of the traveling. Amnesia is the inability to remember personal information, and dissociative identity disorder was formerly known as multiple personality disorder.
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Which of the following statements describes the relationship between the pulmonary circulation and the pulmonary vascular bed?
a. The pulmonary circulation is a high-pressure system with normal pressures averaging 100/60 to 120/70 mm Hg. b. Because of the low pulmonary arterial pressures, the right ventricular wall thickness needs to be only one-third that of the left ventricle. c. Pulmonary hypertension is defined as increased pulmonary artery systolic pressure above 20 mm Hg. d. The most common cause of pulmonary hypertension is right-sided heart failure.
The nurse is teaching a prenatal class about newborn immunity. Which statement by a participant requires further teaching?
A) "Newborns obtain passive immunity from the mother." B) "Newborns obtain active immunity across the placenta." C) "Only antibody to infections to which the mother has been exposed will transfer to the newborn." D) "Maternal antibody provides temporary immunity to the newborn."
Which client is at greatest risk for undiagnosed diabetes mellitus?
a. Young, muscular white man b. Young African-American man c. Middle-aged Asian woman d. Middle-aged American Indian woman
A RN has been a nurse for 35 years. During that time she has become very intolerant to patients who are smokers. This is a violation of __________ standards
A. legal B. ethical C. clinical D. professional