The nurse documents, "The client described her husband's abuse in an emotionless tone and with a flat facial expression." This statement describes the client's:
A. feelings.
B. blocking.
C. mood.
D. affect.
Ans: D. affect.
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A patient being medicated with haloperidol for over 4 weeks has started to display symptoms of involuntary movements of the mouth that resemble chewing. Of the following extrapyramidal adverse reactions, the client is showing signs of:
A. Dystonia. B. Akathisia. C. Drug-induced Parkinsonism. D. Tardive dyskinesia.
A depressed client repeatedly tells staff that he's a bad person and that he has cancer. Diagnostic
tests reveal no cancer. The priority nursing diagnosis for this client would be a. social isolation. b. risk for self-directed violence. c. impaired verbal communication. d. ineffective health maintenance.
Which option reflects a general criterion for restraining a patient?
1. The patient's inability to care for himself or herself 2. The patient's refusal to take psychotropic medications as prescribed 3. The patient's violent but nonthreatening behavior toward others 4. The patient's immediate ability to harm self or others
Many teens wait until the second or even third trimester to seek prenatal care. The nurse should understand that the reasons behind this delay include which of the following? (Select all that apply.)
a. Continuing to deny the pregnancy b. Uncertainty about where to go for care c. Lack of realization that they are pregnant d. A desire to gain control over their situation e. Wanting to hide the pregnancy as long as possible