The nurse is caring for a client with a history of admissions to several hospitals over the last several years. Each hospitalization was for a different disorder in which there was no physical evidence
The medical record indicates the client is a pathological liar. Which of the following disorders does the client suffer from? 1. A somatoform disorder
2. Factitious disorder by proxy
3. Adult factitious disorder
4. Dissociative identity disorder
3
Rationale: When the disorder is severe, chronic, and unremitting—involving repeated hospitalizations, traveling between health care providers and health care facilities, and pathological lying of an intriguing and fantastic nature (termed pseudologica fantastica)—it is often referred to as Munchausen syndrome or adult factitious disorder (AFD). Factitious disorder by proxy sometimes called Munchausen by proxy syndrome (MBPS) occurs when parents or caregivers deliberately induce signs of an illness in another person, usually their own child. There is no evidence the client is suffering from dissociative identity disorder or a somatoform disorder.
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In which of the following cases is the ethical conflict between cost containment and quality care most obvious?
A) The termination of an incompetent aide who is the sole support of his family B) The conversion of a community playground into a senior citizen center C) An insurance company that denies reimbursement for dialysis of patients older than age 70 D) The decision to remove the feeding tube from a comatose patient
A nurse explains the homeostatic mechanisms involved in fluid homeostasis to a student nurse. Which of the following statements accurately describe this process? Select all that apply
A) The kidneys selectively retain electrolytes and water and excrete wastes and excesses according to the body's needs. B) The cardiovascular system is responsible for pumping and carrying nutrients and water throughout the body. C) The thyroid gland secretes aldosterone, a mineralocorticoid hormone that helps the body conserve sodium, helps save chloride and water, and causes potassium to be excreted. D) The lungs regulate oxygen and carbon dioxide levels of the blood, which is especially crucial in maintaining acid–base balance. E) Thyroxine, released by the adrenal glands, increases blood flow in the body, leading to increased renal circulation and resulting in increased glomerular filtration and urinary output. F) The parathyroid glands secrete parathyroid hormone, which regulates the level of calcium and phosphorus.
Identify the statements that define the nursing profession. Select all that apply
1. Development and publication of professional standards 2. Educational opportunities 3. Professional organizations 4. Medical research 5. Certifications of specialty areas
Complications of transfusions that can be decreased by the use of leukocyte depletion or reduction of RBC transfusion are
A. chills and hemolysis B. leukostasis and neutrophilia C. fluid overload and pulmonary edema D. transmission of cytomegalovirus and fever