A patient admitted to the psychiatric unit with a diagnosis of obsessive-compulsive disorder (OCD) tells a nurse of a need to perform oral hygiene at least 15 times each day while sleeping only 1 hour each night for the last 5 days
Within the next 48 hours, which outcome would best indicate that nursing interventions to relieve anxiety had been successful? a. The patient sleeps 6 hours nightly.
b. The patient states that performing rituals is "silly.".
c. The patient verbalizes that brushing one's teeth 15 times each day is "too much.".
d. The patient admits to being acutely anxious and wants help.
A
Patients with obsessive-compulsive disorder may be so consumed by rituals that they are not able to stop long enough to eat, go to the bathroom, or sleep. Sleeping 6 hours per night in comparison with sleeping only 1 hour indicates improvement.
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During a visit to her nurse practitioner, a 68-year-old client is surprised at the nurse's recommendation of immunizations, stating, "I thought those were only for children and teenagers."
Which of the following statements provides the most accurate rationale for the nurse's recommendation? A) Persons over 65 should receive vaccinations against measles, mumps, rubella, and hepatitis. B) Older adults should receive annual influenza vaccinations and tetanus and diphtheria boosters every 10 years. C) The childhood immunization schedule be replicated in beginning at age 65 to ensure adequate antibody titers. D) Older adults should receive vaccinations if they live in close contact with others who may be or may become infected with infectious diseases.
The nurse is caring for multiple clients in the emergency department. The client with which condition is at highest risk for distributive shock?
a. Severe head injury from a motor vehicle accident b. Diabetes insipidus from polycystic kidney disease c. Ischemic cardiomyopathy from severe coronary artery disease d. Vomiting of blood from a gastrointestinal ulcer
Upon entering the examination room, a nurse observes that the patient is leaning forward with arms supporting body weight. The nurse would most likely suspect which of the following?
A) Diabetes mellitus B) Heart failure C) Chronic obstructive pulmonary disease D) System lupus erythematosus
Which method of assessing FHR allows the clinician to hear the opening and closing of heart valves, which helps detect dysrhythmias?
A. A fetoscope B. An internal scalp electrode (FSE) C. An ultrasound transducer