A psychiatric nurse is obtaining a comprehensive history from a 32-year-old male client who has engaged in bulimic behaviors over the past 17 years
When dealing with bulimia, the nurse knows that failure to improve may be associated with all EXCEPT which of the following? a. comorbid substance abuse
b. the use of structured cognitive behavioral therapy
c. borderline, narcissistic, and antisocial personality disorders
d. a long-term duration of symptoms before initial diagnosis and treatment
B
Failure to improve is not associated with structured cognitive behavioral therapy. In fact, cognitive behavioral therapy has been shown to be more effective in treating bulimia than antidepressants alone. Impulsivity and depression in addition to the other mentioned issues may also be associated with failure to improve.
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Nondirective interviewing is a useful technique because it:
a. Allows the nurse to have control of the interview b. Is an efficient way to interview a patient c. Facilitates open communication d. Helps focus patients who are anxious
A 38-year-old man has come into the urgent
care center with severe hip pain after falling from a ladder at work. He says he has taken several pain pills over the past few hours but cannot remember how many he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that the most serious toxic effect of acute acetaminophen overdose is which condition? a. Tachycardia b. Central nervous system depression c. Hepatic necrosis d. Nephropathy
A client in labor is admitted to a healthcare facility. Assessment shows that the fetus is in occiput posterior position. When planning the client's care, the nurse would anticipate which of the following?
A) Use of internal EFM B) Precipitate labor C) Increased urinary frequency D) Dystocia with labor
A client in a health care facility asks the nurse about the facility's computerized system for keeping client information, especially in regard to confidentiality. Which is the best response by the nurse?
1. "Don't worry; your information is always safe.". 2. "Information in our system requires a password to retrieve.". 3. "Our system was designed with a lot of input from nursing staff.". 4. "I can see why you're worried, with all the computer hackers out there these days.".