A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patient's insurance form. Which resource should the nurse use to discern the criteria used to establish this diagnosis?
a. The Diagnostic and Statistical Manual of Mental Disorders (DSM)
b. Nursing Diagnosis Manual
c. A psychiatric nursing textbook
d. A behavioral health reference manual
A
The DSM gives the criteria used to diagnose each mental disorder. The distracters do not contain diagnostic criteria for mental illness.
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A client undergoes a gastroduodenostomy (Billroth I) for treatment of a perforated ulcer. Postoperatively the nurse cannot detect bowel sounds and there is 200 mL of bright red blood in the nasogastric (NG) drainage container
What is the most appropriate nursing action? A) Assess the client's pain level. B) Irrigate the NG tube. C) Apply an abdominal binder. D) Notify the physician.
The nurse explains the importance of taking folic acid prior to and during pregnancy because the fetal nervous system is present by the:
A) week. B) week. C) week. D) week.
The nurse is instructing a 55-year-old client on ways to reduce the development of illnesses that are the leading cause of death for persons in the same age group. Which of the following is the nurse instructing this client?
1. Need to wear seat belts when operating a motor vehicle 2. Reduction of alcohol intake 3. Need for a annual mammogram, Pap smear, and colonoscopy every 10 years 4. Weight reduction
Disaster planning and management are roles well-suited to nurses. Which primary prevention strategy would a nurse use for disaster preparedness?
A) Education to the community on family and home disaster planning, including the kind of supplies that should be in a disaster kit B) Triage of injured clients after a tornado demolishes the community center C) Direct client care to an individual who is recovering from being thrown from his car during a hurricane D) Examining fellow nurses for signs of chemical exposure after participating in a mass disaster response