You are caring for a middle-aged male patient who has a long history of psychiatric disorders. During your assessment, you note excessive tremors and uncontrollable spasms in his head, neck, and arms. This is most likely:
A. a purposeful action designed to draw attention away from his medical history.
B. drug interactions produced by antihypertensive medications and diuretics.
C. manifestations of his psychotic illness.
D. extrapyramidal side effects of his antipsychotic medication.
Ans: D. extrapyramidal side effects of his antipsychotic medication.
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The development of a nursing diagnosis depends on the
a. Medical diagnoses b. Chronic disease processes c. Data collected in the comprehensive assessment d. Goals for the resident care
When assessing the pain in a client diagnosed with appendicitis, the nurse would expect to assess:
1. extreme pain with slight palpation anywhere on the abdomen. 2. pain in the upper back when the right lower quadrant is palpated. 3. more pain when the pressure is released in the right lower quadrant. 4. no pain when the abdomen is palpated.
The clubhouse model as an approach to caring for people who are mentally ill and homeless provides which of the following services?
a. acute brief hospitalization for physical illness b. housing, employment, job and social skills c. drug and alcohol treatment for dual diagnosis d. total supervision for those who are disabled and mentally ill
A client with chronic bronchitis is to start receiving breathing treatments with acetylcysteine (Mucomyst). Which information should the nurse include in teaching about this medication?
1. "Your pharmacist can order this for you to purchase as an over-the-counter drug." 2. "Stop the treatment if you start to cough." 3. "This drug has a very short shelf life, so if it smells bad, do not use it." 4. "This drug is designed to break down and thin the mucus in your lungs." 5. "You might experience nausea while using this drug."