During a therapy session, a client reveals that he masturbates eight to ten times daily and feels powerless to stop doing so, despite the fact that his behavior causes him shame and self-loathing. This client is exhibiting which of the following problems?
A) Compulsion
B) Obsession
C) Dyssomnia
D) Paramnesia
Ans: A
Compulsions are insistent, repetitive, intrusive, and unwanted urges to perform an act contrary to one's ordinary wishes or standards. An obsession is characterized by intrusive thinking; dyssomnias are disorders in which a client has difficulty with the amount, quality, or timing of sleep; paramnesia is the falsification of memory.
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An abnormal condition in which the heart contracts regularly but at a rate greater than 100 beats per minute is known as ___________________
ANS:
A nurse is caring for a client who has been prescribed oral medication. What care should the nurse take when administering oral medication to the client?
A) Identify the client visually to confirm identity. B) Ask the client to take all the tablets together. C) Ask the client to slightly flex the head to swallow. D) Raise the head of the bed to 30° during administration.
A nursing student has been feeling increasingly overwhelmed. In addition to attending nursing school, the client works full time at night to support his wife and two young children
He missed clinical this week because he overslept, and he also failed a test. His boss has reprimanded him for falling asleep on the job. This evening, his wife found him in the garage assembling a noose. When she questioned him, he began to cry. She immediately brought him to the emergency department. The nurse understands this type of crisis is: A) Maturational/developmental. B) Dispositional. C) Originating from anticipated life transitions. D) Resulting from traumatic stress.
A nurse is caring for a white man age 30 years whose wife has recently died. The client has been diagnosed with clinical depression and is demonstrating insufficient coping skills. Which action by the nurse would be most important?
A) Refer the client for long-term psychotherapy. B) Determine the client's risk of psychosis. C) Determine whether anyone in the client's family has had depression. D) Ask the client whether he is thinking about killing himself.