As a result of a client's extreme anxiety and concern about delusional and hallucinatory phenomena, the nurse plans care because the client is at risk for which of the following? (Select all that apply.)
1. High nighttime levels of melatonin
2. Circadian cycle disruption
3. REM rebound
4. Reduced REM sleep
5. Great difficulty getting to sleep
2. Circadian cycle disruption
4. Reduced REM sleep
5. Great difficulty getting to sleep
Rationale:
This client is displaying schizophrenia symptoms and may have circadian cycle disruption, reduced REM sleep, and difficulty getting to sleep. This client may have low nighttime levels of melatonin. This client will not experience REM rebound.
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A physician mentions to a nurse that a newly admitted client is impulsive. The nurse should assess
for behavior characterized by a. adherence to a strict moral code. b. manipulative, controlling strategies. c. postponing gratification to an appropriate time. d. little time elapsed between thought and action.
You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:
a. barely discernible. b. moderately loud. c. loud with palpable thrill. d. very loud without a stethoscope.
A nurse understands that the presence of a personality disorder is most clearly signaled by a:
A) Deviation from society's established and accepted norms. B) Persistent, maladaptive response pattern over time. C) Pervasive and unwarranted suspiciousness and mistrust. D) Sense of self-importance and an unlimited need for attention.
Which of the following statements is true of empathy?
A) It is a learned or acquired skill. B) It is synonymous with sympathy. C) It requires that two people have similar backgrounds. D) It results in negative therapeutic outcomes.