A client has been diagnosed with dissociative fugue. What would be an appropriate nursing diagnosis for this client?
A) Risk for violence, related to repressed anger
B) Altered thought processes, related to pseudoparalysis
C) Self-care deficit, related to aimless wandering
D) Personality identity disturbance, related to derealization
C
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During an interview for a night shift ICU position, the manager asks the interviewee, ?Will working night shift interfere with your husband?s schedule?? The interviewee realizes this question is:
1. A legitimate question since it may interfere with her home schedule. 2. An illegal question to ask. 3. None of the manager?s business. 4. Something she has not considered and may interfere with her home schedule.
Which client statement may indicate a transference reaction?
A. "I need a real nurse. You are young enough to be my daughter and I don't want to tell you about my personal life." B. "I deserve more than I am getting here. Do you know who I am and what I do? Let me talk to your supervisor." C. "I don't seem to be able to relate to people. I would rather stay in my room and be by myself." D. "My mother is the source of my problems. She has always told me what to do and what to say."
A nurse is caring for a client with neutropenia who has a suspected infection. Which intervention does the nurse implement first?
A. Hydrates the client with 1000 mL of IV normal saline B. Initiates the administration of prescribed antibiotics C. Obtains requested cultures D. Places the client on Bleeding Precautions
Disadvantages of cook/chill method include:
a. increased labor costs b. increased equipment costs c. difficulty with distribution d. none of these