A client with schizophrenia tells the nurse "Everyone must listen to me. I am the redeemer. I will
bring peace to the world.". From this the nurse can determine that an appropriate nursing diagnosis to
be completed is
a. disturbed sensory perception: auditory.
b. risk for other-directed violence.
c. chronic low self-esteem.
d. noncompliance: medication.
C
The client's grandiose delusion is based on reaction formation to actual feelings of low self-esteem.
The scenario does not provide sufficient data to support the other diagnoses.
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Of the following medications used in rheumatic disease, which not only has anti-inflammatory effects but also acts as a platelet aggregation inhibitor and antipyretic?
A) Penicillamine B) Indomethacin C) Antimalarials D) Prednisone
A patient tells the nurse, "I didn't sign up for health care insurance at my job because I'm young and healthy and can use the money in other ways." The response that best explains the advantage of health insurance would be, "With insurance
a. a fiscal middleman pays your health care bills." b. your individual contributions go directly to paying your personal expenses." c. you can borrow money for unexpected health care expenses at a very low interest rate." d. you are spreading the risk in case you have a serious health event, such as cancer or major trauma."
Since the initiation of an antipsychotic drug, a patient complains of light-headedness and dizziness upon standing. Select the most appropriate comment the nurse can offer the patient
a. "This is an unfortunate and permanent effect of this class of drugs." b. "Get up slowly. Tolerance to this effect should develop in 2 to 3 months." c. "The drug must be discontinued immediately to avoid injury." d. "We need to increase your fluid intake, which should fix the problem."
The results of a patient discharge questionnaire reveal that the hospital is not easy to navigate and is not physically comfortable for visitors. What should be done to address these findings?
1. Appoint a committee to review the questionnaire. 2. Contact a local furniture company to change the chairs in the waiting room. 3. Create a multidisciplinary committee to analyze the navigation of the hospital, looking for comfort characteristics. 4. Nothing. Since these patients are no longer in the hospital, the information is not helpful.