The nurse is working with a client who exhibits a pervasive, excessive, and unrealistic need to receive care. This client's behavior is a characteristic of which of the following personality disorders?
1. Histrionic personality disorder
2. Narcissistic personality disorder
3. Dependent personality disorder
4. Avoidant personality disorder
3
Rationale: Dependent personality disorder is characterized by a pervasive, excessive, and unrealistic need to be cared for, fear of separation, lack of self-confidence, an inability to make decisions, and an inability to function independently. Narcissistic personality disorder is characterized by a grandiose sense of self-importance and a sense of entitlement. Histrionic personality disorder is characterized by a lifelong tendency for dramatic, egocentric, attention-seeking response patterns. Avoidant personality disorder is characterized by a pattern of social withdrawal along with a sense of inadequacy, fear, and hypersensitivity to potential rejection or shame.
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The nurse educator is observing the student nurse take a blood pressure on an older adult client. When is it appropriate for the nurse educator to intervene during this assessment?
Select all that apply. 1. The student nurse ushers the client into the exam room and immediately assesses the client's blood pressure. 2. The student nurse places the blood pressure cuff on the client's arm over a lightweight, long-sleeved sweater. 3. The student nurse immediately reinflates the cuff after identifying the palpatory systolic blood pressure. 4. The student nurse has the client sit in a chair and supports the client's arm on a table at the level of the heart. 5. The student nurse places the blood pressure cuff on the thigh of a client with a bilateral mastectomy and takes the blood pressure using the popliteal artery.
A preschool child diagnosed with autistic spectrum disorder has been engaging in constant head-banging behavior. Which nursing intervention is appropriate?
1. Place client in restraints until the aggression subsides. 2. Sedate the client with neuroleptic medications. 3. Hold client's head steady and apply a helmet. 4. Distract the client with a variety of games and puzzles.
Which of a gerontological nurse's following teaching points about the role of sensory function in older adults are accurate? (Select all that apply.)
A) "Sensory deficits are a threat not only to quality of life but to safety as well.". B) "A healthy lifestyle can prevent the sensory losses that many people assume to be inevitable.". C) "Sensory deficits have a negative effect on older adults' social integration and relationships.". D) "Impaired communication is a common result of sensory losses.". E) "Older adults may have difficulty correctly perceiving their physical environment when sensory deficits exist.".
A client with iron deficiency anemia is prescribed iron supplements. After administering the drug, the nurse would assess the client for which of the following as a possible adverse reaction related to gastrointestinal function?
A) Headache B) Darker stools C) Soreness D) Backache