A nurse assesses a patient receiving perphenazine, a traditional antipsychotic medication. The nurse notices the patient is shifting in the chair, rocking back and forth, and tapping both feet constantly
Select the most accurate term for the documentation of these findings. a. Dystonia
b. CNS effects
c. Alexithymia
d. Akathisia
d
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Which of the following statements made by parents of high schoolers would be a cause for the concern the child may be thinking about suicide?
A) "My child seems to eat all the time. He tells me that all of his friends are eating a lot as well." B) "My child seems to go shopping at the mall every day after school with her friends. I think they hang out at the mall." C) "My child has never had problems in school until now. He is failing classes and getting in trouble." D) "My child used to talk to me about anything. Now she spends most of her time in her room texting friends."
A primigravida patient is admitted to the labor and delivery unit. During initial assessment, the baby is found to be engaged. The nurse recognizes this means that the:
a. narrowest diameter of the presenting part has reached the pelvic outlet. b. descending part is being initiated through the midpelvis. c. widest diameter of the presenting part has reached the pelvic outlet. d. narrowest diameter of the presenting part is at the ischial spines.
Which of the following statements would a pregnant teenager likely make at the first prenatal visit? (Select all that apply.)
A. "I didn't know I could get pregnant the first time I had sex." B. "Several of my friends go to clinics to get contraception." C. "It's no big deal; two of my best friends have babies, too." D. "We have plenty of money at home to buy diapers and stuff." E. "I'll have to drop out of school because I don't have day care for my baby."
Which of the following questions by a depressed, inpatient, psychiatric–mental health client should the nurse interpret as a potential suicide clue?
A) "Are patients allowed to keep drugstore medications at their bedside?" B) "When is my next schedule ECT session?" C) "When do you think the doctor will let me get my street clothes back?" D) "Are we allowed to use the patient kitchen whenever we want?"