A woman has had several episodes where she finds new clothes in her closet that are much more colorful than the style she usually buys. Today, a co-worker approached her to thank her for hosting a dinner party that she had no recollection of hosting
What is the most appropriate nursing diagnosis for this client? a. Self-esteem, low
b. Personal identity, disturbed
c. Body image, disturbed
d. Anxiety
B
Nursing diagnoses for clients with dissociative disorders are related to self-concept responses and depend on identified problems of each client. In this case, the description the client gives relates to personal identity. Self-esteem, body image, may be contributing factors to this diagnosis.
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The nurse is providing education to a patient who is being discharged home on antibiotic therapy. Which of the following statement(s) by the patient indicates further education is needed? (Select all that apply.)
a. "I should take antibiotics every time I am sick." b. "I should take all antibiotics as prescribed." c. "I should save all unused antibiotics." d. "I should stop taking antibiotics when I feel better."
The nurse is discharging home a client at risk for venous thromboembolism (VTE) on low-molecular-weight heparin. What instruction does the nurse provide to this client?
a. "You must have your aPTT checked every 2 weeks." b. "Massage the injection site after the heparin is injected." c. "Notify your health care provider if your stools appear tarry." d. "An IV catheter will be placed to administer your heparin."
Which statement represents a fact about suicide?
A. More women than men commit suicide. B. Suicide is the fourth leading cause of death in the United States. C. Native Americans and Alaskan Natives have low suicide rates. D. A schizophrenic client is at a great risk for attempting suicide.
For which patient should the nurse question an order for esomeprazole (Nexium)?
a. A 55-year-old female who takes digoxin b. A 52-year-old male who is noncompliant c. A 38-year-old female who has asthma d. A 56-year-old male who has epistaxsis