Soon after parents announced they were divorcing, a child stopped participating in sports, sat alone at lunch, and avoided former friends. The child told the school nurse, "If my parents loved me, they would work out their problems."
Which nursing diagnosis has the highest priority?
a. Social isolation
b. Decisional conflict
c. Chronic low self-esteem
d. Disturbed personal identity
ANS: A
This child shows difficulty coping with problems associated with the family. Social isolation refers to aloneness that the patient perceives negatively, even when self-imposed. The other options are not supported by data in the scenario.
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A newly licensed nurse is preparing to administer a psychotropic medication to an elderly client. The nurse questions the preceptor regarding adverse effects of these medications. Which is the most appropriate statement from the preceptor?
A) "Extrapyramidal symptoms such as akathisia will occur within a few days of starting a psychotropic medication." B) "Akathisia refers to an acute, painful, spastic contraction of muscle groups that often occurs soon after initiating treatment." C) "Tardive dyskinesia can be reversed when the offending medication has been stopped." D) "Extrapyramidal symptoms such as akathisia can occur in a client who has been taking a psychotropic medication for years."
Laboratory blood tests show that a patient has a T3 level of 190 ng/dL. How should you interpret this finding?
a. Hypothyroidism b. Hyperthyroidism c. Normal thyroid function d. Thyroid function totally absent
An adult has cared for a debilitated parent for 10 years. The parent's condition recently declined, and the health care provider recommended placement in a skilled nursing facility. The adult says, "I've always been able to care for my parents
Nursing home placement goes against everything I believe." Successful resolution of this person's crisis will most closely relate to: a. resolving the feelings associated with the threat to the person's self-concept. b. ability of the person to identify situational supports in the community. c. reliance on assistance from role models within the person's culture. d. mobilization of automatic relief behaviors by the person.
Which client statement indicates a knowledge deficit related to a substance use disorder?
1. "Although it's legal, alcohol is one of the most widely abused drugs in our society." 2. "Tolerance to heroin develops quickly." 3. "Flashbacks from LSD use may reoccur spontaneously." 4. "Marijuana is like smoking cigarettes. Everyone does it. It's essentially harmless."