The nurse caring for a schizophrenic client is assessing the client's ability to control distorted thought processes. Which finding indicates a positive outcome?
A. The client is able to identify when hallucinations or delusions are real.
B. The client can describe in detail the frequency and context of the hallucinatory and delusional behavior.
C. The client can describe the hallucinations and delusions in detail and is able to interact with others and share in their delusional systems.
D. The client can identify the recurrence of hallucinations, can refrain from responding to them, and reports a significant decrease in the incidence of hallucinations.
Answer: D. The client can identify the recurrence of hallucinations, can refrain from responding to them, and reports a significant decrease in the incidence of hallucinations.
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The caregiver of a client diagnosed with AD asks the nurse about the prescribed therapy with rivastigmine and about how the drug works. The nurse would integrate knowledge of which action in the response to the caregiver?
A) Increases the level of acetylcholine in the CNS B) Decreases the level of neurotoxins in the brain C) Increases the level of cholinesterase in the blood D) Increases the level of adenosine triphosphate in the blood
Results of the CAM-ICU testing reveal that an older adult hospitalized in the intensive care unit has delirium. Which nursing interventions should be instituted?
1. Increase environmental stimuli in the patient's room. 2. Limit visiting hours. 3. Sedate the patient until ready for discharge from the intensive care unit. 4. Manage the patient's pain effectively.
The weight gain recommendations for the pregnant adolescent are based on the teen's:
1. Chronologic age 2. Gynecologic age 3. Prepregnancy weight 4. Blood protein level
How many milliliters of full-strength Sustacal are needed to prepare 300 mL of a ¾-strength Sustacal solution?
1. 225 mL 2. 450 mL 3. 900 mL 4. 950 mL