Which person with mania is the least likely candidate to receive lithium? The client who is:
1. Recovering from a hysterectomy
2. Displaying symptoms of postpartum depression
3. 6 weeks pregnant
4. Taking hormone replacement therapy
ANS: 3
Lithium is contraindicated during pregnancy because of teratogenic effects. Options 1, 2, and 4 would not be contraindicative to lithium therapy.
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The hospital has initiated a new fall risk-assessment tool. The nurse manager would like to reward those staff members who use the tool regularly. Which method of reinforcement would be most successful in getting long-term compliance?
1. A coupon for free lunch each time the tool is utilized 2. A counseling session with the nurse manager when the assessment tool has not been utilized 3. A coupon for a free lunch for staff members who have utilized the tool appropriately during a medical record review of nursing documentation 4. A pizza party for the staff when there is 100% compliance
One of the major disadvantages about group decision making are premature decisions, individual domination, and ____
a. Autonomous conclusion b. Disruptive conflicts c. Group synergy d. Inaccurate data interpretation
Pubic hair distribution in a diamond-shaped pattern from the umbilicus that is not associated with cultural or familial differences most likely indicates:
A) Chronic skin condition. B) Hirsutism caused by an endocrine disorder. C) Early signs of an infection. D) Effects of androgens.
The nurse in a pediatric clinic notices that a child in the waiting area has begun to experience shortness of breath. The nurse brings him back for immediate attention. The nurse was performing which of the following roles:
a. Anticipatory guidance b. Triage c. Case management d. Evidence-based practice