A nurse is assessing a girl age 8 years with a mood disorder. Which of the following would the nurse most likely expect to assess?
A) Statement from the child that she feels sad
B) Behavioral problems
C) Recurrent obsessions
D) Ritualistic behavior
Ans: B
Children with mood disorders may not spontaneously express their feelings (sadness, irritability) and are more likely to show their suffering through their behavior. These children may act out their feelings rather than discuss them. Thus behavior problems may accompany depression. Recurrent obsessions and ritualistic behavior would suggest obsessive-compulsive disorder.
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A health care practice has changed its mix of patients and now accepts fewer self-paying and more insured patients. The office manager tells the staff to anticipate
a. caring for more-educated patients. b. offering expanded office hours and days. c. ordering more diagnostic tests. d. providing more preventive care.
While the nurse is taking the health history, a patient states, "My mother and sister both had double mastectomies and were unable to be very active for weeks." Which functional health pattern is represented by this patient's statement?
a. Activity-exercise b. Cognitive-perceptual c. Coping-stress tolerance d. Health perception–health management
The primary focus of diagnostic coding is to ensure that:
a. all descriptions use a controlled vocabulary b. clients cannot decipher the medical information c. passwords are manageable across the agency d. systems for record-keeping are simple and storable
Program evaluation is an essential organizational practice in nursing centers. A Nurse Executive provides materials on the effectiveness of a prenatal program. This would be termed:
1. Focusing on design 2. Engaging stakeholders 3. Ensuring use and sharing lessons learned 4. Gathering credible evidence