When receiving report, the nurse learns that a schizophrenic patient has been displaying waxy flexibility. Which behavior is consistent with this report?

a. The patient sits and stares at the wall without speaking.
b. The patient arranges himself in several seated postures on the couch.
c. The patient marches stiffly up and down the center of the dayroom.
d. The patient holds his arm over his head with his fist clenched for an hour.


D
Waxy flexibility refers to maintaining a limb in one position for a long time. The catatonic patient will exhibit a stuporous demeanor. It is associated with rigidity and unusual posturing.

Nursing

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A judge notices that many of the persons brought before her criminal court are mentally ill people who have committed minor offenses, are off their medications, and who probably offended because of their illness

She consults the nurse director of the local community mental health center for guidance about how to most helpfully respond when handling such cases. Which advice from the nurse would be most appropriate? a. "Sometimes a little time in jail makes a person rethink what they've been doing and puts them back on the right track.". b. "Sentencing such persons to participate in treatment instead of incarcerating them has been shown to reduce repeat offenses.". c. "Actually, police arresting these people helps them in the long run; sometimes I can't hospitalize them, but in jail they'll at least get their meds.". d. "Research suggests that special ‘mental health courts' aren't making much of a difference so far, but outpatient commitment does seem to help.".

Nursing

A nurse is explaining a pamphlet called the "Patient Care Partnership" to a patient and family. Who should the nurse indicate created this pamphlet?

a. The Joint Commission b. Medicare/Medicaid Act c. Social Security Act d. American Hospital Association

Nursing

A 33-year-old nurse presents at the clinic with complaints of weakness, incoordination, dizziness, and loss of balance. The patient is hospitalized and diagnosed with multiple sclerosis (MS)

What sign or symptom, revealed during the initial assessment, is typical of MS? A) Diplopia, history of increased fatigue, and decreased or absent deep tendon reflexes B) Flexor spasm, clonus, and negative Babinski's reflex C) Blurred vision, intention tremor, and urinary hesitancy D) Hyperactive abdominal reflexes and history of unsteady gait and episodic paresthesia in both legs

Nursing

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

Nursing