Which assessment findings would prompt a nurse to suspect that a 15-year-old patient may be a victim of serial ritual abuse?
a. Lying in a fetal position; echolalia; body rocking
b. Multiple scars and burns; missing teeth; fear of being examined
c. Scarred index finger; tooth enamel erosion; sores around mouth
d. Acting-out behaviors; verbal aggression; arrested for grand larceny
B
Scarring, burns, and missing teeth fit the picture of ritual abuse. The fear of examination relates to having to remove clothes in preparation for torture. The distracters are more consistent with schizophrenia, bulimia nervosa, and antisocial personality disorder.
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From a psychoanalytic perspective, eating disorders are related to:
1. Conscious intrapersonal and interpersonal conflict. 2. Learned behavior regarding the affect of food. 3. Disturbance in the body system. 4. Regression to pubertal conflicts and repudiation of developing sexuality.
A patient admitted to the cardiac unit is going to the cardiac catheterization lab for a procedure. The patient tells the nurse, "I am so anxious about this. I am afraid the procedure might trigger a heart attack." What is the first action by the nurse?
a. Contact the physician for an anti-anxiety medication prior to the procedure. b. Assure the patient that this is a very common procedure for all cardiac patients. c. Instruct the patient prior to the procedure about what he can expect of the procedure. d. Offer the patient some stress-reducing techniques to use before the procedure.
Which client is a candidate for internal monitoring with an intrauterine pressure catheter?
a. Obese client whose contractions are 3 to 6 minutes apart, lasting 20 to 50 seconds b. Gravida 1, para 0, whose contractions are 2 to 3 minutes apart, lasting 60 seconds c. Multigravida whose contractions are 2 minutes apart, lasting 60 to 70 seconds d. Gravida 2, para 1, in latent phase whose contractions are irregular and mild
A client is suspected of having an allergic reaction to certain laundry detergents. The nurse recognizes that the diagnostic test result that would best confirm a hypersensitivity reaction would be:
1. Patch test with a 1-inch area of erythema. 2. Eosinophils of 2% of the total WBC. 3. Indirect Coombs' showing no agglutination. 4. Rh antigen with negative results.