A client has been assigned an admission diagnosis of brief psychotic disorder. Which assessment information would alert the nurse to question this diagnosis?
1. The client has experienced impaired reality testing for a 24-hour period.
2. The client has experienced auditory hallucinations for the past 3 hours.
3. The client has experienced bizarre behavior for 1 day.
4. The client has experienced confusion for 3 weeks.
2
Rationale: This disorder is identified by the sudden onset of psychotic symptoms that may or may not be preceded by a severe psychosocial stressor. These symptoms last at least 1 day but less than 1 month.
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The imposition of the rules, modes, and ideals of one group on another group is called:
a. acculturation c. oppression b. cultural diversity d. stereotyping
Which of the following data is important for a nurse to obtain when a client with alcohol dependence admits consuming alcohol during the assessment?
A) Type of drink consumed B) Quantity of drink consumed C) When the last drink was consumed D) Any withdrawal symptoms experienced
A laboring patient in the latent phase is experiencing uncoordinated, irregular contractions of low intensity. How should the nurse respond to complaints of constant cramping pain?
a. "You are only 2 cm dilated, so you should rest and save your energy for when the contractions get stronger." b. "You must breathe more slowly and deeply so there is greater oxygen supply for your uterus. That will decrease the pain." c. "Let me take off the monitor belts and help you get into a more comfortable position." d. "I have notified the doctor that you are having a lot of discomfort. Let me rub your back and see if that helps."
How many levels of entry into practice exist for registered nurses?
A) One B) Two C) Three D) Four