During periods of laughter, talkativeness, and banter, a client with manic behavior is noted to
abruptly become irritable. Such changes in mood should be assessed as
a. dissociation.
b. lability.
c. undoing.
d. flight of ideas.
B
The mood of the manic client is often unstable. Rapid mood shifts are called mood lability. Options
A and C: Dissociation and undoing are ego defense mechanisms. Option D: Flight of ideas is a
speech pattern in which speech is delivered rapidly and with abrupt changes of topic.
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The nurse is caring for a patient who gives indications of being a victim of abuse. The nurse understands that abuse is which of the following? (Select all that apply.)
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A nurse reviews the culture report of a patient being treated with an aminoglycoside for a serious infection. Which organism identified in the report would prompt the nurse to contact the pre-scriber about changing the antibiotic?
a. Staphylococcus aureus b. E. coli c. Proteus mirabilis d. Pseudomonas aeruginosa
You take an infant's apical pulse before administering digoxin. What is the usually accepted level of pulse rate considered safe for administering digoxin to an 8-month-old infant?
A) 60 beats per minute B) 80 beats per minute C) 100 beats per minute D) 150 beats per minute
The nurse administers proparacaine HCl (Ophthaine) drops to a patient prior to an eye examination. What sign will the nurse look for to determine when the examination can begin?
a. Absence of the blink reflex b. Blurred vision c. Drying of the corneal epithelium d. Photophobia