The nurse in the emergency department tells the daughter of a patient that her 86-year-old mother has had a stroke
The daughter tearfully asks the nurse, "Who will take care of me now?" When the nurse explores this query, the daughter mentions that her mother always tells her what job to take, what clothes to buy and wear, and what to have for lunch. The daughter states that she needs someone to direct her and reassure her when she gets anxious. With which personality disorder is this presentation most consistent? a. Histrionic
b. Dependent
c. Narcissistic
d. Borderline
B
The main characteristic of dependent personality disorder is a pervasive need to be taken care of that leads to submissive behaviors and fear of separation. Histrionic behavior is characterized by flamboyance, attention seeking, and seductiveness. Narcissistic behavior is characterized by grandiosity and exploitive behavior. Patients with borderline personality disorder demonstrate separation anxiety, impulsivity, and splitting.
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The nurse is caring for a patient with high cholesterol who has been prescribed atorvastatin (Lipitor). Which laboratory result indicates that the patient has been taking the medication as ordered and following the physician's dietary recommendations?
a. Serum triglyceride level 325 mg/dL b. High-density lipoproteins (HDL) 56 mg/dL c. Low-density lipoproteins (LDL) 155 mg/dL d. Total cholesterol level 185 mg/dL
A patient who works outdoors has frequent contact dermatitis flares secondary to exposure to plant irritants. The patient asks the nurse how to minimize these episodes. The nurse will counsel this patient to perform which action?
a. Apply topical glucocorticoid medication prior to exposure. b. Cleanse the skin immediately after any contact with plants. c. Take systemic diphenhydramine (Benadryl) after being outdoors. d. Use calamine lotion prior to working outdoors.
A client asks the nurse what the goal of treatment for allergic rhinitis is. Which response by the nurse is the most appropriate?
1. "Relief of symptoms and suppression of immune system." 2. "Prevention of symptoms and decreased immune response." 3. "Prevention of occurrence and relief of symptoms." 4. "Suppression of cough and immune system."
A student nurse realizes that she has administered the wrong dose of medication to a patient and immediately informs her clinical instructor of this error. How is this student nurse best described as a professional?
a. Confident b. Trustworthy c. Compliant d. Accountable