A client, who recently delivered a stillborn baby, has a diagnosis of adjustment disorder unspecified. The nurse case manager should expect which client presentation that is characteristic of this diagnosis?
1. The client worries continually and appears nervous and jittery.
2. The client complains of a depressed mood, is tearful, and feels hopeless.
3. The client is belligerent, violates others' rights, and defaults on legal responsibilities.
4. The client complains of many physical ailments, refuses to socialize, and quits her job.
4
Rationale: The diagnosis of adjustment disorder unspecified is assigned when the maladaptive reaction is not consistent with any of the other categories. Manifestations may include physical complaints, social withdrawal, or work or academic inhibition, without significant depressed or anxious mood.
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A nurse is giving anticipatory guidance to the mother of a 10-month-old child. The nurse is focusing on providing a safe environment for the child. Which of the following is the best statement regarding childhood safety?
a. "The car seat should be placed in a forward-facing position." b. "The majority of deaths in children between the ages of 1 and 3 years old are caused by contagious diseases." c. "Injuries are a major cause of death during infancy, especially for children 6 to 12 months old." d. "Measles causes more deaths in children younger than 5 years old than all other diseases combined."
A woman in week 34 of pregnancy reports that she is very uncomfortable because of heartburn. The nurse would suggest that the woman:
a. Substitute other calcium sources for milk in her diet. b. Lie down after each meal. c. Reduce the amount of fiber she consumes. d. Eat five small meals daily.
A patient who is receiving intravenous (IV) chemotherapy asks why you are wearing a mask, gloves, and gown when giving the drugs. What is your best response?
a. "These drugs will reduce your immune response, and with these coverings I am protecting you from getting an infection from me." b. "Because your immunity is reduced by this therapy, I am preventing the spread of infection from you to me or any other patient here." c. "The drugs are powerful and I handle them every day. The clothing protects me from accidentally absorbing these strong drugs." d. "The hospital policy is for any person giving these drugs to wear gowns, gloves, and masks to prevent other people from getting cancer."
The nurse instructs the patient to avoid the sudden discontinuation of beta-adrenergic blockers so as to avoid which symptom?
a. Postural hypotension b. Edema c. Increased angina d. Confusion