A patient diagnosed with paranoid schizophrenia says, "My co-workers are out to get me. I also saw two doctors plotting to kill me." How does this patient perceive the environment?
a. Disorganized
b. Dangerous
c. Supportive
d. Bizarre
ANS: B
The patient sees the world as hostile and dangerous. This assessment is important because the nurse can be more effective by using empathy to respond to the patient. Data are not present to support any of the other options.
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All of the following factors affect a drug's effect, metabolism, and toxicity except
A. physiological alterations of advancing age. B. environmental factors. C. genetic variations. D. generic versus brand-name form.
During assessment, the client tells the nurse that she eats a natural food-high vitamin diet, exer-cises 30 minutes daily, uses meditation, uses yoga techniques for stress reduction, and takes pre-scribed antihypertensive medication
The nurse would assess that number of CAM therapies the client uses as: 1. Four 2. Three 3. Two 4. One
A patient recovering from a traumatic gunshot wound asks when discharge will occur. Which response should the nurse make?
A. "As soon as the wound heals, you can return to work." B. "Probably never." C. "Right now there is no way of knowing how long you will be hospitalized." D. "I would say in a few weeks."
A mistake is made while recording the client's medical record. The nurse should:
A. Scratch out the error and rewrite the notation B. Use correction fluid and write over the error C. Discard the page and replace the notations on a new sheet D. Draw a line through the error, write the correct notation above it, and initial the correction