On the way to see your next patient, you glance at the calendar and make a mental note to buy a Mother's Day card. Your patient is Ms. Hernandez, a 76-year-old widow who lost her husband in May, two years ago. She comes in today with a headaches, abdominal pain, and general malaise. This happened once before, about a year ago, according to your detailed office notes. You have done a thorough
evaluation but are unable to arrive at a consistent picture to tie these symptoms together. This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem
B) Psychopathologic problem
It is not uncommon for patients to experience psychopathologic symptoms around the anniversary of a traumatic event. The time of year and the lack of an obvious connection between Ms. Hernandez's symptoms would make you consider this as a possibility. You will note that although this might have been an early consideration in your hypothesis generation, it is key to convince yourself that there is not a physiologic explanation for these symptoms, by performing a careful history and examination.
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A client is admitted to the psychiatric care unit. While the nurse is explaining the use of the call light, the client smiles and says, "Apples, corn, dogs, my foot." The nurse correctly documents the client is demonstrating which speech pattern?
1. Neologisms 2. Clanging 3. Word salad 4. Echolalia
Neurological assessment of the older person should include:
a. history of medications and herbs used b. assessment of swallowing c. checking grip strength d. all of the above
An older patient with angina complains of prolonged and severe pain that occurs at the same time each day during rest. There are no precipitating factors to the pain. How should the nurse describe this type of angina pain?
1. Stable angina 2. Unstable angina 3. Non-anginal pain 4. Atypical angina (Prinzmetal's angina)
At which point of preparing medication from an ampule does the nurse anticipate using a filter needle?
1. Filter needles are not used for this preparation. 2. When drawing the medication from the ampule. 3. When administering the medication to the client. 4. Both for drawing up the medication and for administering the medication.