A client broke down in tears when speaking with the nurse, stating, "You have no idea what it's like to be responsible for finding Osama bin Laden
Every day I have to stay one step ahead of the Al Qaida operatives that he's sent after me." In light of the client's statement, which of the following nursing diagnoses should the nurse prioritize?
A) Fear related to persecutory delusions
B) Disturbed Sensory Perception related to grandiose delusions
C) Defensive Coping related to delusional thoughts
D) Impaired Social Interactions related to delusional thinking
Ans: A
The client is expressing fear and anxiety resulting from a perceived threat. He is confused about his role and/or identity, but there is no evidence of a disturbance in sensory perception (ie, hallucinations). Defensive coping is not in evidence, and impaired social interactions are secondary to the client's immediate fear.
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A nursing manager is concerned about professional sanctions that might result if several near-miss episodes are reported to a Patient Safety Organization (PSO) under the Agency of Healthcare Research and Quality (AHRQ)
The chief nurse executive explains to the manager that under the Patient Safety and Quality Improvement Act of 2005, a. certain critical errors or near misses can be penalized under law. b. PSOs only provide safety initiative information data to the AHRQ. c. state legislatures are able to sanction facilities under the 2005 Act. d. this information is confidential and protected from legal action.
A researcher's expectations about the relationships between variables in a quantitative study are generally formulated as which of the following?
A) Hypotheses B) Frameworks C) Research questions D) Conceptual definitions
How are evidence-based practice and best research evidence related?
a. With best research evidence publications, there is no evidence-based practice. b. Both evidence-based practice and best research evidence are generated by research. c. Best research evidence is the evidence on which practice is based. d. Best research evidence includes five basic items, one of which is evidence-based practice.
A client is experiencing acute pain for which pain medication is not indicated. The nurse can teach the client which of the following complementary interventions to assist with pain control?
a. relaxation c. tai chi b. reflexology d. meditation