What does a urinalysis that is positive for the drug tested indicate?
a. It indicates illegal drug use.
b. It verifies drug dependency.
c. It is a violation of the individual's constitutional rights.
d. It verifies whether the drug is present in the specimen.
ANS: D
Positive urinalysis simply indicates the presence of the drug being tested for in the urine specimen. The person may have a prescription for a substance found in the urine or may have been accidentally dosed with it. Presence of the substance in the urine does not indicate dependence because the person may only be an episodic user of the substance. Asking for the person's permission to collect a specimen and examine it does not violate the person's constitutional rights. The Supreme Court has ruled that drug screening does not violate one's constitutional right to privacy or represent an unreasonable search.
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When caring for a client whose last dose of heroin was self-administered just prior to admission, the nurse anticipates the client's withdrawal symptoms will peak in:
a. 6-8 hours c. 36-48 hours b. 12-18 hours d. 5-10 days
A patient who is 7 months pregnant and who has arthritis asks the nurse if she can take aspirin for pain. The nurse will tell her not to take aspirin for which reason?
a. It can result in adverse effects on her fetus. b. It causes an increased risk of Reye's syndrome. c. It increases hemorrhage risk. d. It will cause increased gastrointestinal distress.
In the discipline of psychiatric mental health, diagnosis involves scientific evaluation of signs, symptoms, history, lab tests, and procedures. One of the potential risks to the process of diagnosis in mental health is what?
A) The nurse may be led to a false, simplistic, or superior sense of an understanding of the patient's problem. B) The diagnosis provides a way to communicate with other health professionals using a common language. C) The diagnoses can help guide treatment decisions. D) Once diagnosis is established, it is possible to identify similar subjects for etiologic and epidemiologic research.
The nurse wishes to demonstrate genuineness within the context of the nurse-client relationship with
his client who has been diagnosed with schizophrenia. The nurse will need to a. use extensive self-revelation in client interactions. b. encourage the client to depend on him for support and reassurance. c. consistently make value judgments about client behaviors. d. be aware of his own feelings and use congruent communication strategies.