A client with bipolar disorder, manic phase, just sat down to watch television in the lounge. As the nurse approaches the lounge area, the client states, "The sun is shining. Where is my son? I love Lucy. Let's play ball." The client is displaying:
a) Concreteness.
b) Flight of ideas.
c) Depersonalization.
d) Use of neologisms.
Answer: b) Flight of ideas.
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A client is to be treated for suspected cystitis. Which of these orders should the nurse implement first?
a. Administer urinary antimicrobial medication. b. Administer urinary tract analgesics. c. Obtain a urine specimen for culture and sensitivity (C&S). d. Start an IV fluid at 100 mL/h.
A nurse administers a tap water enema to an adult client who is constipated. The client defecates a scant amount of brown fecal matter, which the nurse interprets as a poor result. The nurse should take which action?
A. Document the results B. Administer a second tap water enema C. Add soap suds to the enema bag and repeat the enema D. Administer a Fleet enema, then a tap water irrigation
Which type of pain generally diminishes over time as the patient begins to heal?
A) Persistent B) Radiating C) Acute D) Chronic
Symptoms of substance abuse include:
(A) Tremors (B) Poor judgment (C) slurred speech (D) Change in behavior (E) All above