The client complains of severe back pain and is excused from work. Later, he is seen water skiing and jogging. These behaviors describe
1. malingering.
2. somatization.
3. hypochondriasis.
4. a factitious disorder.
1
People who are malingering purposefully produce the signs or symptoms of illness for some form of gain.
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To accurately assess a pregnant client's food intake, the nurse would:
1. Assess her most recent laboratory values. 2. Ask her to complete a nutritional questionnaire. 3. Observe for clinical signs of malnutrition. 4. Ask about her cooking facilities.
An ambulatory care center nurse who is counseling a young client with sickle cell anemia can best access evidence-based practice (EBP) guidelines from
a. consulting current nursing texts or journals. b. integrated hospital care plans and protocols. c. the Occupational Safety and Health Administration (OSHA). d. the Agency for Healthcare Research and Quality (AHRQ).
A client says to the admitting nurse, "Why do you need to know the names of all the over-the-counter supplements I take? They aren't drugs." Which of the nurse's responses are appropriate?
1. "The admitting physician needs to know everything you are taking." 2. "You're right. I'm not sure why the admitting paperwork asks for this information. Would you mind listing them anyway?" 3. "The law requires us to keep a list of over-the-counter drugs and supplements that you are taking." 4. "It is true that supplements are not considered drugs; however, some of these products can cause adverse effects with prescribed drugs." 5. "We need to know if you are having an allergic reaction to one of them."
Jemma, who weighs 210 lb (95 kg) and has been diagnosed with hyperglycemia tells the nurse that her husband sleeps in another room because her snoring keeps him awake. The nurse notices that she has large hands and a hoarse voice. Which of the following would the nurse suspect as a possible cause of the client's hyperglycemia?
a. Acromegaly b. Type 1 diabetes mellitus c. Hypothyroidism d. Deficient growth hormone