While conducting a health history, the nurse asks which questions to assess for risk factors associated with depression? Select all that apply
a. "Has anyone in your family ever been diagnosed with depression?"
b. "Have you noticed a change in how much energy you have?"
c. "Do you have crying spells?"
d. "Do your muscles seem tense?"
e. "Do you feel that something bad is about to happen to you?"
f. "Do you have difficulty making decisions?"
ANS: A, B, C, F
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The nurse notices that an older female nursing home resident is not eating and that her heart rate is faster than as usual. Which should the nurse do to eliminate pneumonia as a potential cause of the change in her status?
a. Obtain a specimen for aerobic blood cultures. b. Send the resident for a chest x-ray exam promptly. c. Analyze sputum for color, texture, and volume. d. Compare tympanic temperature to the baseline.
Why are antiarrhythmic medications required in the treatment of shock?
A) To prevent serious cardiac dysrhythmias B) All patient with shock have serious cardiac dysrhythmias C) They are not required D) To stabilize cardiac afterload
The nurse is completing a preoperative assessment on a client. The nurse understands that which of the following is the most important reason to complete a thorough assessment?
1. The data provide information and guidance for the preoperative and postoperative teachings. 2. The potential risks are identified for the family, to comfort them in case there is a bad outcome from surgery. 3. The assessment data can be used to help plan for a future residential care institution. 4. The data provide information to use for the health care provider's history and physical.
When obtaining a client's history, a nurse determines that the client has been experiencing delusions and hallucinations for the past 3 months, which has caused some problems in his ability to function at work
He also is exhibiting catatonic excitement, echopraxia, loose associations, and pressured speech. The nurse suspects which of the following? A) Schizophrenia B) Schizoaffective disorder C) Brief Psychotic disorder D) Schizophreniform disorder