The client has hallucinations, delusions, and feelings of paranoia. She lacks judgment, behaves impulsively, and shows little insight. Her behaviors are often inappropriate, ritual-istic, or repetitive. She is diagnosed as
1. anxious.
2. suicidal.
3. depressed.
4. psychotic.
4
The defining feature of a psychosis is gross functional impairment owing to loss of touch with reality.
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The nurse is teaching a patient about ways to decrease her risk of bone fractures. The following statements by the patient indicate a good understanding. (Select all that apply.)
a. "I should do weight-bearing exercises." b. "I should get adequate intake of calcium and vitamin D." c. "I should exercise regularly." d. "I need to do yoga exercises."
A nurse is caring for a male who has been informed of a prognosis of only several months before death. He wants to return to his home with hospice care. He has a wife and two daughters who do not support this decision
Which of the following communication principles should guide the nurse during this family situation? 1. A nurse guides families by staying focused solely on the patient's needs and wishes. 2. Families need to be informed that they are unable to provide the quality care needed in the home. 3. Exploring the family's beliefs about hospice, death, and their role can help families make decisions. 4. Helping family members understand the benefits of a patient dying at home produces the best outcomes.
The nurse is caring for a premature infant with respiratory distress syndrome (RDS). The nurse is preparing to administer surfactant to the infant
By which route would the nurse administer the surfactant to achieve the desired response? The drug would be given a. intravenously to reduce the risk of alveolar collapse. b. by inhalation to promote bronchodilation of the lungs. c. intrathecally to prevent hyperventilation. d. by intratracheal instillation to lower surface tension in the lungs.
A patient cries quietly while undergoing a painful treatment. The nurse realizes that although the treatment is painful, it is necessary for the patient's healing and recovery. Which ethical principle does this situation exemplify?
1. Paternalism 2. Nonmaleficence 3. Veracity 4. Respect for others