A client displays disorganized thinking, difficult-to-follow speech, and silly, inappropriate affect. The client isolates himself from other clients and staff, ignores unit activities, and often seems to be listening and responding to unseen stimuli
This client's behavior most closely conforms to the characteristic behavior of:
1. Residual schizophrenia
2. Schizoaffective disorder
3. Paranoid schizophrenia
4. Disorganized schizophrenia
ANS: 4
The presence of disorganization and inappropriate affect identifies this disorder as disorganized schizophrenia. 1. The symptoms are too florid to be residual schizophrenia. 2. Schizoaffective disorder presents with severe mood disorder along with symptoms of schizophrenia. 3. Paranoid schizophrenia is characterized by persecutory or grandiose delusions.
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A) Maintain the client in a sitting position for as long as possible. B) Elevate the rest of the client's body slightly above the neck and head. C) Position the neck and head in line with the rest of the client's body. D) Elevate the client's head slightly while keeping the neck neutral.
The adolescent patient is in a drug rehabilitation program. The mother of this patient says to the nurse, "The doctor said my son has a physical addiction to alcohol. What does this mean?" What is the best response by the nurse?
1. "His brain remembers the euphoria he had with alcohol, and he has a craving to return to it." 2. "He will have an intense craving for alcohol; this is best managed in group therapy." 3. "His body is used to alcohol; he will have specific withdrawal symptoms when it is stopped." 4. "He will have feelings of depression when stopping alcohol; we need to monitor him for suicide."
The nurse recognizes that the leading cause of death for the otherwise healthy 1-year-old is:
1. Physical abuse 2. Accidental injury 3. Contagious diseases 4. Stranger abduction
A client is being discharged following surgery for cancer care. The client will require extensive dressing changes two times per day. The client is on a fixed income and cannot afford to purchase dressing supplies
The nurse contacts the local Peregrine Society to assist in the provision of dressings. This contribution in care will assist in improving the client's A) Family relationships B) Return to daily activities C) Decision making D) Self-concept