A patient has refused to eat for 36 hours, believing she is being haunted by her dead grandmother for her "sins." An appropriate therapeutic response would be:
A) "What exactly is grandmother telling you."
B) "There are bible studies and different nondenominational groups on the unit. Here is a schedule if you'd like to attend."
C) "Why don't you just tell God you are sorry?"
D) "I know you hear your grandmother, but we will have to insert a feeding tube if you continue to refuse to eat."
B
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A 19 year old client is admitted to the emergency room after a severe motor vehicle accident. The client's driver's license has an organ donation code specified. The nurse explains to the family that
1. The client will have organs harvested within 24 hours 2. The client must experience heart-lung death before organs can be harvested 3. The client is too young to become an organ donor 4. The presence of two electroencephalograms showing no brain activity over 24 hours is required prior to declaration of death
A patient has been started on therapy with disopyramide (Norpace). For which of the following adverse effects should the health care provider periodically assess the client?
a. Dry mouth, constipation, urinary retention, and blurred vision b. Anorexia, nausea, vomiting, and headaches c. Urinary frequency, diarrhea, and abdominal cramping d. Hypertension, tachycardia, and diminished peripheral pulses
A nurse providing wellness seminars plans which of the following primary prevention activities related to sickle cell disease?
a. Have a "sick day management" tip sheet for those with SCD. b. Offer information on genetic counseling for SSD. c. Plan to have a list of community resources for the families of people with SCD. d. Provide a list of day care providers willing to care for children with SCD.
The client with epilepsy develops stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. How should the nurse document this seizure activity?
A. Generalized atonic seizure B. Generalized absence seizure C. Generalized myoclonic seizure D. Generalized tonic-clonic seizure