A patient reports fears of having cervical cancer and says to the nurse, "I've had Pap smears by six different doctors. The results are normal, but I'm sure that's because of errors in the laboratory." Which disorder would the nurse suspect?
a. Functional neurologic (conversion) disorder
b. Prominent health anxiety (hypochondriasis)
c. Predominant (pain) disorder
d. Dissociative fugue
ANS: B
Patients with hypochondriasis have fears of serious medical problems such as cancer or heart disease. These fears persist, despite medical evaluations, and interfere with daily functioning. No complaints of pain are made, and no evidence of dissociation or conversion exists.
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The plan of care for the cancer client includes weekly blood counts. Changes in which of the following laboratory values would be the most likely reason for an order of filgrastim (Neupogen) injection?
A) Thrombocytopenia B) Polycythemia C) Leukopenia D) Anemia
Graduates from approved schools of nursing cannot sign their charting as registered nurses (RNs) until they:
a. pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN®). b. provide evidence of mental competency. c. supply written proof of physical fitness. d. have signed an employment contract with a health care facility.
What nurse theorist developed therapeutic touch?
A) Dorothea Orem B) Martha Rogers C) Jean Watson D) Dolores Krieger
A nurse assesses the closed chest tube drainage system of a client who underwent lobectomy 24 hours ago. The nurse notes that there has been no chest tube drainage for the past hour. Which action should the nurse take first?
A. Contact the health care provider B. Check for kinks in the drainage system C. Check the client's blood pressure and heart rate D. Connect a new drainage system to the client's chest tube