After a rape victim visited a rape crisis counselor weekly for 8 weeks, which finding best demonstrates that reorganization was successful?
a. Absence of signs or symptoms of posttraumatic stress disorder
b. Presence of mild somatic reactions
c. Moderate doubts about self-worth
d. Occasional episodic nightmares
A
Rape-trauma syndrome is a variant of posttraumatic stress disorder. Reporting the absence of signs and symptoms of posttraumatic stress disorder suggests that the long-term reorganization phase has been successfully completed. The distracters suggest that the process is ongoing.
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The nurse working in an obstetrician's office receives a call from a 13-year-old girl who is 28 weeks pregnant reporting severe back pain that is constant and rated as a 7 on a 1-10 scale. The nurse will:
1. Tell the client to come to the obstetrician's office immediately. 2. Instruct the client to lie down after taking two acetaminophen (Tylenol). 3. Make an appointment for the client to be seen later this afternoon. 4. Tell the client to take a laxative and call back if pain not relieved.
The manager identifies that a nurse is practicing professionalism. What did the manager observe to come to this conclusion?
1. Recognizing characteristics considered to be professional 2. Maintaining specific character and spirit 3. Learning about the influences of Florence Nightingale 4. Promising to uphold the standards of the profession
A client is receiving interferon. What should be the highest priority nursing intervention to prevent the client from experiencing rigors?
a. Pretreat with acetaminophen (Tylenol) and meperidine (Demerol). b. Provide antiemetics before treatment and around the clock. c. Infuse IV fluids as quickly as possible and assess urine output. d. Provide analgesia every 4 hours and assess for pain.
L.C. is a 78-year-old man with a 3-year history of Parkinson disease (PD). He is a retired engineer, is married,
and lives with his wife in a small farming community. He has four adult children who live close by. Since his last visit to the clinic 6 months ago, L.C. reports that his tremors are "about the same" as they were; however, further questioning reveals that he feels his gait is perhaps a little more unsteady, and his fatigue is slightly more noticeable. L.C. is also concerned about increased drooling. Among the medications L.C. takes are carbidopa-levodopa 25/100 mg (Sinemet) four times daily and amantadine (Symmetrel) 100 mg at breakfast and bedtime. On the previous visit the Sinemet was increased from three to four times daily. He reports that he has become very somnolent with this regimen and that his dyskinetic movements appear to be worse just after taking his carbidopa-levodopa (Sinemet). What is PD?