Which scenario predicts the highest risk for directing violent behavior toward others?
a. Major depression with delusions of worthlessness
b. Obsessive-compulsive disorder; performs many rituals
c. Paranoid delusions of being followed by alien monsters
d. Completed alcohol withdrawal; beginning a rehabilitation program
ANS: C
Patients who are delusional, hyperactive, impulsive, or predisposed to irritability are at higher risk for violence. The patient in the correct response has the greatest disruption of ability to perceive reality accurately. People who feel persecuted may strike out against those believed to be persecutors. The other patients have better reality-testing ability.
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The current school year is now over, and the school health nurse spends time summarizing the records of all the children who had come into the school health office during the past school year
Which of the following best explains the rationale for this action? a. Because analysis can help establish priorities for future health programs b. Because annual reports are expected by the school board c. Because it's very personally rewarding to see all the help one has given throughout the year d. Because the nurse has to justify the school health office budget for each year
Six teaspoons equals two tablespoons
Indicate whether the statement is true or false
At the beginning of the 7 am-3 pm shift, the nurse checks her assigned clients and notes that a client with diabetes mellitus has an intravenous (IV) bag of 5% dextrose in water hanging and infusing instead of the prescribed 0.9% normal saline. The nurse verifies the prescription and changes the IV solution to the correct one. The nurse assesses the client noting that the blood glucose level at 7:15 am was 149 mg/dL, notifies the physician, and completes an incident report. Which information about the event is appropriate for inclusion on the incident report?
A. The physician was contacted. B. The blood glucose level at 7:15 am was 149 mg/dL. C. An IV solution of 5% dextrose in water was infusing at 7 am. D. A solution of 5% dextrose in water was infusing instead of the prescribed 0.9% normal saline solution. E. A 5% dextrose in water solution is not usually prescribed for clients with diabetes, and the solution was changed immediately on its discovery.
In providing nourishment for a child with cystic fibrosis (CF), which factor should the nurse keep in mind?
a. Diet should be high in carbohydrates and protein. b. Diet should be high in easily digested carbohydrates and fats. c. Most fruits and vegetables are not well tolerated. d. Fats and proteins must be greatly curtailed.