During a conversation, the client states, "It's raining outside and raining in my heart
Did you know that St. Valentine used to visit jails? I've never been to jail." The nurse assesses that the client is experiencing a speech pattern commonly seen in manic episodes called what?
A) Perseveration
B) Circumstantiality
C) Neologisms
D) Flight of ideas
Ans: D
Flight of ideas is the expression of multiple, unrelated ideas in a string of statements. Neologisms are new words, circumstantiality is when the client speaks about topics that are loosely related with each other, and perseveration is the repetition of words or ideas over and over.
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The nurse is teaching a patient taking a monoamine oxidase inhibitor (MAOI) about dietary changes required to minimize adverse effects of the drug. The nurse determines the patient understands a low tyramine diet when what meal is chosen?
A) A chop salad with blue cheese, sardines, and pepperoni B) A sandwich with turkey, avocado, and Swiss cheese C) Corned beef hash, eggs, and hash browns D) A hamburger, French fries, and a strawberry milkshake
A patient has returned to the unit after undergoing limb-sparing surgery to remove a metastatic bone tumor. The nurse providing postoperative care in the days following surgery assesses for what complication from surgery?
A) Deficient fluid volume B) Delayed wound healing C) Hypocalcemia D) Pathologic fractures
Dacron swabs are necessary when testing for which condition?
a. Gonorrhea b. Pregnancy c. Trichomoniasis d. Chlamydia
A 26-year-old man of Mexican heritage is admitted for observation after sustaining injuries in a motor vehicle accident. When assessing this patient, the nurse must consider that he may possess which view of pain? He may:
a. Believe in taboos against narcotic use to relieve pain b. Expect immediate and effective treatment to relieve pain c. Endure pain longer and report it less frequently than some patients do d. Use herbal teas, heat application, and prayers to manage his pain