A patient admitted for treatment of uncontrolled diabetes mellitus is withdrawn and tearful. The patient says, "I just want to be normal again.". The nurse determines there is a need for a psychiatric evaluation primarily to assist:
a. the patient in verbalizing distress about the disease.
b. in assessing the emotional factors affecting the patient's present condition.
c. in assessing priorities to be set for the patient's overall nursing plan of care.
d. the patient in emotionally accepting the chronic nature of the disease.
B
The primary purpose would be to assess emotional factors that may have an effect on the patient's current condition. The patient has given clues to psychological distress. Holistic care requires the assessment of biological, psychological, and sociocultural health status.
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A nurse is attempting to differentiate between the symptoms of anorexia nervosa and the symptoms of bulimia. Which statement delineates the difference between these two disorders?
1. Clients diagnosed with anorexia nervosa experience extreme nutritional deficits, whereas clients diagnosed with bulimia nervosa do not. 2. Clients diagnosed with bulimia nervosa experience amenorrhea, whereas clients diagnosed with anorexia nervosa do not. 3. Clients diagnosed with bulimia nervosa experience hypotension, edema, and lanugo, whereas clients diagnosed with anorexia nervosa do not. 4. Clients diagnosed with anorexia nervosa have eroded tooth enamel, whereas clients diagnosed with bulimia nervosa do not.
Research utilization is a process that begins with:
A) A clinical problem that needs to be solved B) A problem-focused trigger C) A knowledge-focused trigger or research finding D) A well-worded clinical question
The nurse, caring for a mechanically ventilated patient in the ICU, has ventilator orders written by the physician that include the following: mode–assist-control, FIO2 .60, rate 12, V•T 1,200 mL. The nurse should
1. carry out the orders as written. 2. request a change in mode. 3. request an increase in the respiratory rate. 4. request a decrease in the tidal volume.
The nurse is educating a patient on intrauterine devices (IUDs). The advantages of an IUD that the nurse includes are that: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. It is effective, continuous contraception. 2. It is relatively inexpensive over time. 3. It does not need to be inserted immediately prior to coitus. 4. Small amounts of estrogen are released daily. 5. It slightly increases the risk of ectopic pregnancy.