The nurse observes a patient's behavior to assess thought process disorders characterized by bizarre, nonreality thinking. This behavior is indicative of the most profound, disabling mental illness, which is:
a. manic depressive.
b. schizophrenia.
c. paranoia.
d. bipolar.
B
Schizophrenia, a thought process disorder, is one of the most profoundly disabling mental illnesses.
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iWhich of the following is the most appropriate nursing intervention for the nursing diagnosis of Impaired physical mobility related to fractured hip?
A) Administer analgesics as required. B) Place pillow between legs when turning. C) Monitor vital signs. D) Assess wound appearance.
Which of the following diagnostic tests would the nurse question when ordered for a client diagnosed with pelvic inflammatory disease (PID)?
A. CBC (complete blood count) with differential B. Vaginal culture for Neisseria gonorrhea C. Throat culture for Streptococcus A D. RPR (rapid plasma reagin)
Tetanus toxoid is prescribed for a client who has sustained a foot laceration from a piece of metal while walking barefoot on the beach. The nurse understands that the toxoid is a(n):
1. Attenuated bacterium 2. Nonattenuated virus 3. Toxin produced by bacteria that has been altered so that it is no longer toxic 4. Specific antibody that will prevent infection through an antigen-antibody reaction
Which client effect would the nurse expect when nitrous oxide is administered?
1. Stage 3 anesthesia 2. Suppression of the pain mechanism 3. Total relaxation of skeletal muscles 4. A state of unconsciousness