An older woman brings her husband to an outpatient clinic. She says, "He wouldn't come on his own, so I finally just brought him. Ever since he retired last year, he just sits around the house. He isn't eating, and he naps all the time

He won't even go fishing, and he's always loved to fish." The nurse recognizes the patient's symptoms are most likely related to which of the following disorders?
a. Bipolar disorder
b. Depression
c. Conversion disorder
d. Post-traumatic stress disorder (PTSD)


ANS: B
The Diagnostic and Statistical Manual of Mental Disorders IV-Text Revision (DSM-IV-TR) specifies that symptoms of major depression include either a depressed mood or anhedonia (the loss of pleasure in things that are usually pleasurable) along with additional symptoms such as change in appetite and sleep patterns. Bipolar disorder is also characterized by periods of mania as well as depression. Conversion disorder involves the conversion of a mental health problem into physical symptoms. PTSD occurs following a major trauma.

Nursing

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While teaching a CPR class, a student in the class asks what the difference is between cardioversion and defibrillation. What would be the nurse's best response?

A) "Cardioversion is done on a beating heart; defibrillation is not." B) "The difference is the timing of the delivery of the electric current." C) "Defibrillation is synchronized with the electrical activity of the heart; cardioversion is not." D) "Cardioversion is always attempted before defibrillation because it is not as dangerous."

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When the nurse assesses an infiltration at a peripheral IV site, the nurse should (place these options in correct sequence):

1. Elevate the arm. 2. Apply warm compresses to the area. 3. Restart the infusion. 4. Stop the infusion. 5. Notify the charge nurse.

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A woman in the third trimester of pregnancy presents to the emergency department with complaints of bright red vaginal bleeding. The nurse immediately suspects:

a. Ectopic pregnancy b. Spontaneous abortion c. Placenta previa d. Hydatidiform mole

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Which of the following is not a test statistic for MANOVA?

a. Bartlett's test b. Hotelling's trace c. Wilk's lambda d. Pillai's trace

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