Which finding from the nurse's physical assessment of a 42-year-old male patient should be reported to the health care provider?
a. One testis hangs lower than the other.
b. Genital hair distribution is diamond shaped.
c. Clear discharge is present at the penile meatus.
d. Inguinal lymph nodes are nonpalpable bilaterally.
ANS: C
Clear penile discharge may be indicative of a sexually transmitted infection (STI). The other findings are normal and do not need to be reported.
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The following are true statements about bipolar disorders in older adults except:
a. "Bipolar disorder often results in 'a leveling out' of symptoms as one ages". b. "Relapses in bipolar disorder tend to be precipitated by medical problems". c. "Older adults with bipolar disorder tend to be 'rapid cyclers'." d. "Bipolar disorder is the most commonly diagnosed psychiatric disorder in older adults." e. "Antidepressant medication can cause an increase in manic behavior.
The client prescribed fluoxetine refuses to take the medication after three days, stating the medication is causing him to be drowsy "even during the day." The best response by the nurse is:
a. "These initial side effects can be difficult, but they generally decrease with continued use of the medication." b. "These side effects are serious. You should stop taking the medication." c. "I'll inform your health care provider that you no longer want to take this medication." d. "Prozac is prescribed for a serious psychiatric disorder; therefore, you cannot refuse to take this medication."
A patient will begin taking the antiepileptic drug ethosuximide (Zarontin) and asks the nurse whether to take the drug with or without food. The nurse will counsel the patient to take this medication
a. at bedtime. b. 1 hour before meals. c. 2 hours after meals. d. with meals.
A newly admitted acutely psychotic patient is a private patient of the medical director and a private-pay patient. To whom does the psychiatric nurse assigned to the patient owe the duty of care?
a. Medical director b. Hospital c. Profession d. Patient