Which finding related to a teenager who has been diagnosed with depression is most sig-nificant when planning care?
a. Her father recently remarried.
b. Her mother died from suicide 1 year ago.
c. She has expressed a dislike for her new stepmother.
d. She ran away from home twice during the past month.
ANS: B
Option b is correct because suicidal behavior can become a learned familial adaptation to stressors. Running away, remarriage, and issues in stepfamilies can be important, but they are not of primary importance.
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The nurse is providing information to the spouse of a patient who has been diagnosed with bipolar disorder. What treatment will the nurse share as being most effective for a patient with acute mania?
1. Group therapy 2. Fluoxetine (Prozac) 3. Seclusion and restraint 4. Electroconvulsive therapy (ECT)
After responding favorably to treatment in the intensive care unit, a patient with a diagnosis of pneumonia is in the process of being weaned from ventilation
The patient is now able to breathe spontaneously but the ventilator is currently supplementing the patient's respiration throughout the cycle. What type of ventilation best matches this patient's oxygenation needs? A) Pressure support ventilation (PSV) B) High frequency ventilation (HFV) C) Inverse ratio ventilation (IRV) D) Controlled mandatory ventilation (CMV)
The nurse assists a patient with oral care. The patient is 1 day postoperative after nasal recon-struction. Which is the most important intervention for the nurse to implement to maintain inte-grity of the oral cavity?
a. Scrape the tongue to remove thick secre-tions. b. Instruct the patient to use a fluoride mouthwash. c. Teach the patient to brush the teeth twice daily. d. Assist the patient to maintain adequate hydration.
Staff nurse 1: "You're stomping around and glaring at me. I'm wondering what's going on.". Staff nurse 2: "I'm sick of you always going to lunch first. You don't care about anyone but yourself."
What assessment can best be made about this exchange? a. Staff nurse 1's remark is challenging and obstructive. b. Staff nurse 1's remark invites clarification of the meaning of the specific behaviors of staff nurse 2. c. Staff nurse 2's remark will facilitate ef-fective problem solving. d. Staff nurse 2's remark will keep anger at a minimum and give incentive for meeting the other's needs.