The nurse is performing an assessment on a client and determines that the client could be at risk for mental illness when the client states:
1. "I am saving my money to own a top-of-the-line car."
2. "I am proud to say I am 35, own nothing, and am single."
3. "I enjoy being a Boy Scout leader."
4. "I am losing weight by eating healthier."
Answer: 2
1. Saving for a car denotes that the client is living in a real world, demonstrated by his understanding that saving is necessary to obtain desired objects.
2. The client who owns nothing and is single at 35 requires more investigation by the nurse. The client is not completing developmental tasks, and is possibly a loner, which could be an indicator of mental illness.
3. The client who enjoys being a Scout leader is contributing to society.
4. The client who is taking an interest in healthier living is demonstrating a positive attitude.
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The nurse is providing discharge teaching for an obese patient who is going home on sibutramine (Meridia). Which statement by the patient demonstrates a need for further education?
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Which physiologic event may lead to increased constipation during pregnancy?
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A cornerstone of culturally safe nursing practice is reflecting on self. This means nurses: a. question how their beliefs are formed. b. question their understanding of the culture inwhich they live
c. question their understanding of the powerimbalances within the culture in which they live. d. all of the above.