As an advanced practice psychiatric nurse, you are treating a 19-year-old female college freshman for borderline personality disorder. Her roommate joins a sorority and begins packing to move into the sorority house
As a result of the diagnosis's essential features, you can expect this client to exhibit: a. strange ritualistic behavior
b. preoccupation with cleanliness, order, and perfectionism
c. frantic efforts to avoid real or imagined abandonment
d. remission of the disorder due to decreased level of stress
C
The nurse would expect the client to exhibit frantic efforts to avoid real or imagined abandonment. The client would feel abandoned because the roommate is leaving to move into the sorority house.
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A pregnant woman in her first trimester is admitted to the CCU after being in a motor vehicle crash. She was in the back seat on the side of the car that was hit. She was wearing a shoulder and lap seat belt and there was not a back-seat airbag
She is complaining of lower abdominal discomfort and has some lower abdominal bruising. Which assessment finding requires immediate follow-up? A) Lower abdominal discomfort B) Red blood cells slightly low C) Sinus tachycardia at 130 bpm D) Alert and oriented ?3
The prenatal nurse believes in advocating for the patient. What action by the nurse best reflects this role?
A. Documenting the patient's preferences for childbirth care B. Helping the woman formulate and vocalize questions C. Informing women of options related to labor and birth D. Teaching women about physical changes during pregnancy
A child is hospitalized with acute kidney injury (AKI) and has a critical hyperkalemia. Which order would the nurse question as inappropriate for this child?
A. Calcium gluconate B. Dextrose and insulin C. Emergent dialysis D. Kayexalate (sodium polystyrene) enema
The nurse is providing dietary instruction to a patient with hemorrhoids. Which of the following breakfast options is the best option for a patient with hemorrhoids?
A) Cheese omelet and coffee B) Raisin bran cereal and an apple C) A bagel with cream cheese and hot tea D) Blueberry pancakes and milk