A client with a diagnosis of schizophrenia believes that he is an undercover operative for the CIA and that voices of various representatives of the organization give him regular updates on his missions
He is unwilling to participate in many interventions because he is "too busy with things that are more important than you could possibly understand." This client exhibits the characteristics of what subtype of schizophrenia?
A) Paranoid
B) Catatonic
C) Disorganized
D) Undifferentiated
Ans: A
Clients exhibiting paranoid schizophrenia tend to experience persecutory or grandiose delusions and auditory hallucinations.
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A female patient has just undergone a percutaneous coronary intervention (PCI). What symptom, if found by the nurse, requires immediate intervention?
A) Three premature ventricular complexes B) Frank bleeding from the femoral insertion site C) Serum potassium level 4.8 mEq/L D) Hemoglobin 11.7 g/dL
"Reciprocal attachment behavior" refers to:
a. the positive feedback an infant exhibits toward parents during the attachment process. b. behavior during the sensitive period when the infant is in the quiet alert stage. c. unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact. d. behavior by the infant during the sensitive period to elicit feelings of "falling in love" from the parents.
The nurse is providing discharge instructions to the family of an older adult patient who is unable to get out of bed
The nurse should instruct the family that the most effective way to prevent urinary incontinence associated with immobility is to: 1. use absorbent underpads. 2. set up a toileting program. 3. restrict fluid intake to 500 mL/24 hours. 4. restrict fluids after dinner and throughout the night.
A school-age child is scheduled for a tonsillectomy. What should the nurse assess prior to the surgery being done?
A) Urine specific gravity B) Pulse and respiratory rate C) Bleeding and clotting time D) Lying and sitting blood pressure