A client was admitted to the mental health unit after arguing with co-workers and threatening to kill
them. He is diagnosed with paranoid schizophrenia. On the unit he is aloof and suspicious.
He
mentioned that two physicians he saw talking were plotting to kill him. On the basis of data gathered
at this point, two nursing diagnoses the nurse should consider are
a. disturbed thought processes and risk for other-directed violence.
b. spiritual distress and social isolation.
c. risk for loneliness and deficient knowledge.
d. disturbed personal identity and noncompliance.
A
Delusions of persecution and ideas of reference support a nursing diagnosis of disturbed thought
processes. Risk for other-directed violence is substantiated by the client's feeling endangered by
persecutors. Fearful individuals may strike out at perceived persecutors or may attempt self-harm to
get away from persecutors. Data are not present to support the diagnoses in the other options.
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The nurse is assigned to care for a client with cirrhosis of the liver. The nurse recognizes that the client's impaired liver function will affect:
1. formation of hydrochloric acid. 2. metabolism of drugs. 3. production of digestive enzymes. 4. formation of red blood cells.
Obesity contributes to a number of alterations in health, such as heart disease, hypertension, and cancer. The nurse should explain to the client that:
1. under-eating causes obesity. 2. upper-body obesity has a greater chance of complications. 3. obesity is not caused by hormone imbalances. 4. a person with an obese parent has a 20% chance of being obese.
What does Butler, a well-known gerontologist, relay regarding ageism?
a. It dehumanizes older individuals. b. It is based on the biologic theory of aging. c. It is based on natural and purposeful oc-currences. d. It continues to change as the population ages.
Which client statement demonstrates the greatest readiness for smoking or alcohol cessation?
a. "I will cut down my smoking and drinking, but I won't stop completely." b. "I don't know why everyone thinks my smoking and drinking are a problem." c. "I need help in dealing with my addiction to smoking and drinking." d. "I will quit when my smoking and drinking really affect my life."