Using the mental health continuum as a guide, the nurse observes behavior that usually places an individual on the illness end of the continuum. What is true of this behavior?

a. It causes extreme concern about health.
b. It results in inability to function in society.
c. It demonstrates that the person is out of touch with reality.
d. It results in inability to interact with people.


ANS: C
On the illness end of the mental health continuum, the person is rarely in touch with reality.

Nursing

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Which of the following adverse effects may occur in a surgical patient receiving dexamethasone (Decadron) on an ongoing basis?

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A client has acidosis. Which laboratory finding is of greatest concern to the nurse?

a. Sodium 154 mEq/L b. Potassium 5.9 mEq/L c. Calcium 8.9 mg/dL d. Magnesium 2.1 mg/dL

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The nurse is assessing a client who has severe preeclampsia. What assessment finding should be reported to the physician?

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