A patient diagnosed with depression paces and pulls at clothing constantly. The patient cannot sit for longer than 5 minutes, even at meals. How should the nurse document this behavior?
a. Perseveration
b. Hypomanic activity
c. Catatonic excitement
d. Psychomotor agitation
D
Psychomotor agitation is marked by increased, purposeless, repetitive motor activity, often performed with a sense of urgency. The description of the patient's behavior is consistent with this definition, rather than any of the other options.
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A patient needs to have a small laceration sutured. What is the most appropriate analgesia for this procedure?
A) Inhaled nitrous oxide and oxygen B) Intravenous atropine C) Subcutaneous lidocaine D) Intravenous propofol
The client who was raped is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to include?
1. "Abortion is morally wrong, and should not be undertaken." 2. "Hypertension is a risk with any abortion." 3. "Surgical abortion in the first trimester is technically easier and safer than abortion in the second trimester." 4. "The most accurate method to determine gestational age are the results of a pregnancy test."
A suspicious, socially isolated patient lives alone, eats one meal a day at a local shelter, and spends the remaining daily food allowance on cigarettes. Select a community psychiatric nurse's best initial action
a. Explore ways to help the patient stop smoking. b. Report the situation to the manager of the shelter. c. Assess the patient's weight; determine foods and amounts eaten. d. Arrange hospitalization for the patient in order to formulate a new treatment plan.
The nurse is reinforcing teaching for a patient who is scheduled for an upper GI series. Which patient statement indicates teaching has been effective?
a. "It is an estimated rectal cholangiopancreatophonography." b. "It is a scope inserted into the duodenum with dye injection." c. "It is a sigmoidoscopy with radiography after injection of dye." d. "It is an x-ray of the esophagus, stomach, and duodenum using barium."