A client with bipolar disorder tells the nurse "I am so ashamed of being bipolar. When I'm manic my
behavior is so bizarre that it embarrasses my family.
Even when I take my medication every day, it's
no guarantee that I will not have a relapse. I am like a stone around my wife's neck, dragging the
family down.". These statements support the nursing diagnoses of
a. defensive coping and ineffective denial.
b. chronic low self-esteem and powerlessness.
c. impaired social interaction and social isolation.
d. impaired adjustment and parental role conflict.
B
Chronic low self-esteem and powerlessness are interwoven in the client's statements. No data
support the other diagnoses.
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Which of the following types of research does not use existing data?
A) Historical research B) Secondary analysis C) Survey research D) Meta-analyses
A patient has developed disseminated intravascular coagulation (DIC). Which assessment would the nurse evaluate as reflecting the microthrombosis results of this disorder?
1. Oozing from older intravenous access sites 2. Jaundice 3. Petechiae 4. Ecchymoses
The nurse is preparing to administer a nasal instillation of medication to a client. The best position for accessing the posterior pharynx is to place the client in a supine position and tilt the client's head:
1. Backward 2. Over the edge of the bed with the head to one side 3. Over a small pillow and back 4. In a chin-down position
Xanthines are not as popular as they were 20 years ago. Why has this group of medications lost its popularity?
1. They have a slower onset. 2. They are related to caffeine. 3. They produce less effective bronchodilation. 4. They interact with a large number of other drugs.