A patient reports having feelings of hopelessness and anxiety for the past few months. The primary care nurse practitioner (NP) performs a history and learns that these feelings occur almost daily
The patient also reports having headaches and difficulty concentrating at work along with wanting to sleep all the time. The patient has gained 5 lb in the past 6 months. The NP should: a. tell the patient that these symptoms should resolve on their own.
b. reassure the patient that these are symptoms of minor depression.
c. tell the patient that an exercise regimen alone should be effective.
d. assess the patient for alcohol and drug use and for suicidal ideation.
D
The patient is having symptoms of major depression, but other factors such as drug or alcohol abuse that may be contributing to the diagnosis must be ruled out first. Patients should be asked about suicidal ideation so that measures can be taken to prevent a suicide attempt. Symptoms of major depression require treatment. Exercise should be a part of any plan but should not be the only intervention.
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A patient receiving an antacid is experiencing muscle cramps. What should the nurse do to assist this patient?
1. Notify the healthcare provider. 2. Review the patient's diet history. 3. Review the patient's elimination patterns. 4. Provide reassurance to the patient.
After completing an initial assessment, the nurse identifies teaching that the client will need. Why did the nurse identify learning needs for this client?
1. Lack of knowledge related to health conditions and self-care 2. The fact that there is little time to complete education in the acute care setting 3. The fact that teaching someone who is willing to learn is easier in the home 4. The need for reimbursement for education by Medicare
A young adult has never lived away from his parents and feels unable to make decisions on his own. According to Freud's theory of development, the nurse should suspect that this person would be fixated at which stage of development?
1. Phallic 2. Latency 3. Genital 4. Anal
A patient is receiving norepinephrine 30 mcg/min for treatment of refractory shock
Which assessment findings suggest the patient is experiencing peripheral vasoconstriction from the medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Decreased peripheral pulses 2. Drop in body temperature 3. Onset of paresthesias 4. Drop in blood pressure 5. Increased cardiac output