The mental health unit separates from others a male patient who repeatedly talks rapidly, makes sexual comments to female patients, and touches them inappropriately
While reviewing his medical records, which diagnosis can the nurse best anticipate for this patient?
a. Depression
b. Schizophrenia
c. Alzheimer's disease
d. Bipolar disorder
D
Patients with bipolar disorder, particularly during manic phases, are likely to be preoccupied with pleasurable activities and commonly display increased sexual activity in the form of verbalizing and acting out. Depressed patients often experience loss of interest in all activities, including pleasant ones, and are not likely to exhibit this type of behavior. Patients with schizophrenia experience delusions that interfere with sexuality, so would not likely display this behavior. Patients who have Alzheimer's disease are often confused in earlier stages and nonresponsive in later stages. This patient would not be the most likely to exhibit this behavior.
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A nurse obtains a focused health history for a client who is scheduled for magnetic resonance angiography. Which priority question should the nurse ask before the test?
a. "Have you had a recent blood transfusion?" b. "Do you have allergies to iodine or shellfish?" c. "Are you taking any cardiac medications?" d. "Do you currently use oral contraceptives?"
A student asks what the phrase "probable signs of pregnancy" means. The instructor provides which answer?
A. Objective signs seen by an examiner; can be from other conditions B. Objective signs seen by an examiner; only caused by pregnancy C. Subjective signs reported by the patient; can be from other conditions D. Subjective signs reported by the patient; only caused by pregnancy
The nurse is determining the best internal evidence to use when planning evidence-based interventions for a patient's care. What should the nurse take into consideration when making this determination?
1. Opinions of authorities and reports of expert committees 2. Systematic reviews of descriptive and qualitative studies 3. Systematic reviews or meta-analyses of randomized controlled trials 4. Comparison of patient assessment and evaluation with quality improvement and outcome evaluations
The nurse uses the PLISSIT format in helping clients who have sexual dysfunction. Which action by the nurse best reflects the 'SS' section of this format?
A) Use the nurse's knowledge about how disease affects sexuality to offer specific suggestions for the client. B) Offer the client a list of expected sexual side effects of drugs or treatments. C) Focus interventions on explaining the somatic sexual difficulties and their treatment. D) Identify any concerns the client has regarding attraction to the same sex.