A patient diagnosed with depression repeatedly tells staff, "I have cancer. It's my punishment for being a bad person." Diagnostic tests reveal no cancer. Select the priority nursing diagnosis
a. Powerlessness
b. Risk for suicide
c. Stress overload
d. Spiritual distress
ANS: B
A patient diagnosed with depression who feels so worthless as to believe cancer is deserved is at risk for suicide. Safety concerns take priority over the other diagnoses listed.
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The nurse has a thorough understanding of the planning phase of the nursing process when stating:
a. "Patients should be included in the planning process." b. "Patient families should not interfere in the planning process." c. "The planning process should focus on short-term goals only." d. "Planning is the first phase of the nursing process."
What should the nurse do to decrease the patient's disorientation at night during the detoxification period?
a. Place the patient in a room with another recovering patient b. Instruct the patient to orient himself to his surroundings at bedtime c. Wake the patient up every 4 hours to eat a small snack d. Use nightlights and remove extra furniture from the room
The nurse practitioner interviews an 80-year-old client who reports that the long-term issue with constipation has stopped and the client now has normal bowel movements
Which of the following conditions should the nurse practitioner suspect that this patient has developed? A) Atrophy of the adrenal gland B) Diabetes C) Hyperthyroidism. D) Hyperlipidemia
Organizations measure the effectiveness of their budgets by examining actual revenues and expenditures versus:
a. planned variances. b. incremental budgets. c. productivity metrics. d. expected performance.