An inpatient with paranoid schizophrenia says to a nurse, "My roommate is plotting with others to have me killed!" Which is the most appropriate nursing response?
A) "Your roommate is a very nice person. Tell me why you feel this way."
B) "What would make you think such a thing?"
C) "No one is trying to kill you."
D) "Knowing your roommate, I would not be surprised!"
A
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Rob, a 15-year-old, has lost 30 pounds in 3 months. Rob is 6 feet tall and weighs 110 pounds. He is aspiring to be a model and he tells you that he is fat: "Just look at how puffy my feet and arms still are. I have to get rid of the fat there."
The nursing diagnosis based on this information is: A. Body image disturbance: distorted perception. B. Knowledge deficit: nutritional requirements. C. Altered nutrition, more than body requirements. D. Potential for suicide.
Your patient demonstrates positive shifting dullness on percussion of the abdomen. This is indicative of:
A. Cholecystitis B. Appendicitis C. Ascites D. Hepatitis
A 3-year-old child has a femoral shaft fracture. The nurse recognizes that the approximate healing time for this child is how long?
a. 2 weeks b. 4 weeks c. 6 weeks d. 8 weeks
The difference in vocabulary between the 3-year-old child and the 4-year-old child is:
a. 150 versus 400 words c. 300 versus 800 words b. 200 versus 500 words d. 900 versus 1,500 words