Which symptoms experienced over 1 month would be most helpful to diagnose bipolar disorder?
1. Difficulty sleeping, obsession with death, hallucinations
2. Delusions, unkempt appearance, fatigue
3. Abnormal eating patterns, feelings of despair, flight of ideas
4. Increased goal-directed behavior and talkativeness, distractibility
3
Rationale 1: Difficulty sleeping, obsession with death, and hallucinations are symptoms of depression.
Rationale 2: Delusions, unkempt appearance, and fatigue are symptoms of depression.
Rationale 3: Bipolar disorder involves periods of mania and depression. Abnormal eating patterns and feelings of despair are symptoms of depression, whereas flight of ideas is a symptom of mania.
Rationale 4: Increased goal-directed behavior, talkativeness, and distractibility are symptoms of mania.
Global Rationale: Bipolar disorder involves periods of mania and depression. Abnormal eating patterns and feelings of despair are symptoms of depression, whereas flight of ideas is a symptom of mania. Increased goal-directed behavior, talkativeness, and distractibility are symptoms of mania. Difficulty sleeping, obsession with death, hallucinations, delusions, unkempt appearance, and fatigue are symptoms of depression.
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The nurse is caring for a child in Bryant's skin traction. Which of the following is an appropriate nursing intervention for this child?
1. Remove the adhesive traction straps daily to prevent skin breakdown. 2. Check the traction frequently to ensure that proper alignment is maintained. 3. Place the child in a prone position to maintain good alignment. 4. Move the child as infrequently as possible to maintain traction.
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1. Includes observations. 2. Limits the assessment to verbal responses. 3. Provides the client with a form to complete. 4. May or may not follow a strict sequence. 5. Uses a group format.
A nurse is working in a summer camp for children. One of the children comes to the clinic with several bee stings. Which clinical manifestations would necessitate the need to inject the child with epinephrine (EpiPen)?
Select all that apply. A) Skin that is cold and clammy to the touch B) Skin that is warm and dry to the touch C) The child is hyperactive and hyperverbal. D) Complaints of thirst E) Restlessness and confusion
Which of the following older adult clients faces the most immediate threat to his or her vision?
A) A 67-year-old man who has been diagnosed with angle-closure (narrow angle) glaucoma. B) An 80-year-old woman whose annual eye examination has just revealed the presence of cataracts. C) An 80-year-old man with chronic (open-angle) glaucoma. D) A 78-year-old man whose cornea is inflamed and appears to have a corneal ulcer.