The nurse is instructing a client on techniques to promote sleep. Which statement made by the client indicates a need for more instruction?
a. I will not drink tea or coffee in the evening.
b. I usually eat my big meal at noon.
c. I usually exercise just before going to bed.
d. I do not have a television in my bedroom.
ANS: C
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During a multifamily support group, a patient who has schizophrenia says, "Sometimes I feel very sad that I will never have a good job like my brother, who is an executive. Then I dwell on it, and maybe I should not."
The nurse leader can best facilitate discussion of this issue by responding: a. "Grieving for what is lost is a normal part of having a mental disorder.". b. "How have others in the group handled painful feelings like these?" c. "It is often better to focus on our successes rather than our failures.". d. "I wonder if you might also experience feelings of anger and helplessness.".
Which factor would the nurse identify as being most important in helping to reduce the maternal/fetal/neonatal complications associated with pregnancy and diabetes?
A) Stability of the woman's emotional and psychological status B) Degree of glycemic control achieved during the pregnancy C) Evaluation of retinopathy by an ophthalmologist D) Blood urea nitrogen level (BUN) within normal limits
A woman comes in a psychiatric office and tells a nurse, "Well, I've arrived. Can you put me ahead of these other people? I am in a real hurry and have things to do." Which diagnosis should the nurse anticipate?
A) Obsessive–compulsive personality disorder B) Schizotypal personality disorder C) Histrionic personality disorder D) Narcissistic personality disorder
In talking with parents about the life expectancy of children who have the sickle cell trait, the nurse will share with the parents whose children with the sickle cell trait:
a. often live only into their 20s or early 30s b. usually die at about age 45 c. most often do not live past age 55 d. do not have a decreased life expectancy