The nurse in the emergency department tells the daughter of a client that her 86-year-old mother has
had a stroke.
The daughter tearfully asks the nurse "Who will take care of me now?" When the nurse
explores this query, the daughter mentions that her mother always tells her what job to take, what
clothes to buy and wear, and what to have for lunch. The daughter states that she needs someone to
direct her and reassure her when she gets anxious. This behavior could best be assessed as
a. histrionic.
b. dependent.
c. narcissistic.
d. borderline.
B
The main characteristic of the dependent personality is a pervasive need to be taken care of that
leads to submissive behaviors and fear of separation. Option A: Histrionic behavior is characterized
by flamboyance, attention seeking, and seductiveness. Option C: Narcissistic behavior is
characterized by grandiosity and exploitive behavior. Option D: Clients with borderline personality
disorder demonstrate separation anxiety, impulsivity, and splitting.
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You are caring for a client who is immunosuppressed. You know that effective nursing care for this patient includes what?
A) Relevant assessment parameters B) Sensitivity to the disease process C) Responsiveness to signs of fluid overload D) Expected secondary disorders
Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle of
a. justice. b. autonomy. c. nonmaleficence. d. death with dignity.
Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM
The nurse identifies that the fetus is at greatest risk for a. Macrosomia b. Congenital anomalies of the central nervous system c. Preterm birth d. Low birth weight
There is little that nurses can do in group work with clients with psychiatric diagnosis, so group work is best left to social workers and psychologists
Indicate whether the statement is true or false