A client is brought to the facility in an agitated state and is admitted to the psychiatric unit for observation and treatment. While putting personal items away, the client talks rapidly and folds and unfolds garments several times. The client can't seem to settle down. Which nursing diagnosis is most applicable at this time?
A. Disturbed personal identity
B. Anxiety
C. Compromised family coping
D. Powerlessness
Answer: B. Anxiety
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At the peak of a contraction, meconium-stained fluid gushes from a client's vagina. The nurse should immediately
a. call the physician c. check the fetal heart rate b. change the bedding d. position the client on her right side
The client with hyperthyroid symptoms is having hormone studies done to confirm the diagnosis. Which set of values indicates non–Graves' disease hyperthyroidism?
A. Elevated T3, elevated T4, high TSH levels B. Elevated T3, normal T4, low TSH levels C. Elevated T3, low T4, low TSH levels D. Low T3, normal T4, high TSH levels
A psychiatric nurse working within a competence paradigm would emphasize which of the following when working with a patient with an anxiety disorder?
a. Use of natural family support networks b. Prevention of negative patient outcomes c. The view of anxiety disorder as a disease d. Treatment of dysfunctional characteristics
The nurse is discussing different types of ostomy appliances with a client with a new ostomy. During this discussion, the nurse should keep in mind that an ostomy appliance should:
1. Be changed daily. 2. Protect the skin. 3. Collect stool. 4. Control odor. 5. Be open, so the client can empty it sporadically throughout the day.