A 30-year-old woman is in therapy for bulimia, depression, and anxiety. She relates that she feels unable to cope with the demands of her life and that her boyfriend recently ended their long-term relationship
She states that she frequently binges when her stress levels are high. She denies feeling suicidal but states, "I'm a mess. I'm just not smart enough to figure out how to run my life!" Which of the following nursing diagnoses would best identify the client's problems?
A) Social Isolation related to recent loss of significant relationship
B) Chronic Low Self-esteem related to unrealistic self-expectations
C) Fear related to life stressors
D) Risk for Delayed Growth and Development related to low self-esteem
Ans: B
Feedback:
Clients with eating disorders generally have low self-esteem even though they achieve well at school, sports, and work. Most nursing diagnoses for clients with eating disorders center on psychosocial problems, such as Chronic Low Self-Esteem related to unrealistic expectations from self or others, lack of positive feedback, and striving to please others to gain acceptance.
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An ECG technician is performing an ECG on a hospital patient who has developed hypokalemia secondary to diuretic use. Which of the following manifestations of the client's health problem will the technician anticipate on the ECG?
A) Irregular heart rate and a peaked T wave B) A low T wave and an absent P wave C) A prominent U wave and a flattened T wave D) A narrow QRS complex and an absent U wave
A clinical manifestation of ataxia-telangiectasia is ataxia. The nurse recognizes that the patient is exhibiting ataxia when she assesses the presence of:
A) Peripheral edema B) Uncoordinated muscle movement C) Vascular lesions caused by dilated blood vessels D) A condition marked by development of urticaria
While working in the emergency room, you receive a call that a 3-year-old child sustained extensive burns in a house fire
Assuming all of the following actions are included in the standing burn-care protocol, which would be your first nursing action? A) Ask the child to drink a glass of milk. B) Insert an NG tube to empty the stomach. C) Obtain a weight. D) Give a tetanus toxoid injection.
The condition in which the eyes fail to look in the same direction at the same time is known as:
a. ptosis. b. cataract. c. strabismus. d. blepharitis.