The nurse is conducting a health history to determine a patient's risk for mental illness. Which question is most appropriate to determine the risk for posttraumatic stress disorder (PTSD)?
1) "Do you have a family history of depression?"
2) "Have you ever abused drugs or alcohol?"
3) "Did you ever serve in the military?'
4) "Are you married?"
ANS: 3
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An infant with a congenital heart defect is being discharged home until the infant reaches an appropriate weight for the corrective surgery
The nurse would teach the parents infant feeding techniques including: Standard Text: Select all that apply. 1. Breastfeed if possible. 2. Complete each feeding within 30 minutes. 3. Position the infant flat to promote swallowing. 4. Dilute the formula with extra water to ensure adequate fluid intake. 5. Burp the infant frequently.
The nurse is caring for a patient admitted to the psychiatric unit with a diagnosis of schizophrenia. The patient has not bathed recently, and a family member states that the patient has not been out of the house for 10 days
On admission, the patient tells the nurse, "They are trying to hurt me; don't let them hurt me." This is an example of which symptom? a. Grandiose delusions b. Auditory hallucinations c. Persecutory hallucinations d. Paranoid delusions
A 26-month-old child often displays negative behavior, refuses to have anything to do with toilet
training, and often shouts "no!" when given direction. His mother asks the nurse what might be the matter with the child. The counseling the nurse gives the mother should be based on the premise that the child is engaged in the psychosocial crisis of a. trust versus mistrust. b. initiative versus guilt. c. industry versus inferiority. d. autonomy versus shame and doubt.
Severe coughing and shortness of breath during a thoracentesis are indicative of which of the following complications?
a. Re-expansion pulmonary edema b. Pleural infection c. Pneumothorax d. Hemothorax