A nurse is developing an education plan for a client with an impulse-control disorder. The nurse is planning to explain the emotional aspects associated with the behavior as part of the plan
Which of the following would the nurse describe as occurring first, before the individual commits the act?
A) Remorse
B) Tension
C) Regret
D) Pleasure
Ans: B
There is an increase in tension before the individual commits the act, and excitement or gratification at the time the act is committed. The release of tension is perceived as pleasurable, but remorse and regret usually follow the act.
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The telephone rings at the nurses' station of an inpatient psychiatric facility. The caller asks to speak with Ms. Honey. Which nursing response protects the patient's rights and confidentiality?
A. "I cannot confirm or deny that Ms. Honey was admitted here." B. "Ms. Honey is in group therapy at present." C. "Hold on, I'll go see if she is in her room." D. "Are you a family member? Ms. Honey can only receive calls from family members."
Which of these signs may indicate development of infection in a postoperative kidney transplant client who is on immunosuppressive therapy?
a. cloudy urine b. development of rales c. fever of 103 degrees Fahrenheit or higher d. severe, excruciating pain in the wound site
A client's last menstrual period was April 11 . Using Nagele's rule, her expected date of birth (EDB) would be:
A) January 4 B) January 18 C) January 25 D) February 24
The nurse is identifying nursing diagnoses appropriate for a pregnant patient who is substance dependent. Which diagnosis should the nurse identify as applicable to this patient's needs?
A) Impaired home maintenance related to a sensory challenge B) Risk for disruption of social interaction related to unclear speech C) Risk for injury to self and fetus related to chronic substance dependency D) Readiness for enhanced family coping, related to commitment to have a child in the face of a disabling condition