A student nurse asks the instructor, "Which psychiatric disorder is most likely initially diagnosed in the elderly?" Which instructor response gives the student accurate information?
1. "Schizophrenia is most likely diagnosed later in life."
2. "Major depressive disorder is most likely diagnosed later in life."
3. "Phobic disorder is most likely diagnosed later in life."
4. "Dependent personality disorder is most likely diagnosed later in life."
2
Rationale: Major depressive disorder is most likely to be identified later in life. Depression among older adults can be increased by physical illness, functional disability, cognitive impairment, and loss of a spouse.
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The constant reflection, clarification, and improvement of internal pictures/views of the world and how this shapes our behaviors and decisions refers to which learning discipline defined by Senge, Kleiner, Roberts, Ross, and Smith (1994)?
a. systems thinking c. personal mastery b. shared vision d. mental models
When conducting a physical examination on the client's GI tract, the nurse includes palpation of the liver in:
1. the upper right quadrant. 2. the upper left quadrant. 3. the lower right quadrant. 4. the lower left quadrant.
The nurse is setting priorities and establishing goals and expected outcomes for a client. These activities occur in which phase of the nursing process?
a. Diagnosis c. Implementation b. Planning d. Evaluation
A patient is being treated for chronic pain. The nurse realizes that which characteristic is typical of chronic pain?
1. The pain rating may be inconsistent with the underlying pathology. 2. Chronic pain usually has a clear, physiologic cause. 3. Chronic pain typically lasts 2 months or less. 4. The pain reported is usually less severe than acute pain.