A nurse is assessing a client diagnosed with schizophrenia spectrum disorder
The nurse asks the client, "Do you receive special messages from certain sources, such as the television or radio?" The nurse is assessing which potential symptom of this disorder? 1. Thought insertion
2. Paranoid delusions
3. Magical thinking
4. Delusions of reference
4
Rationale: The nurse is assessing for the potential symptom of delusions of reference. A client that believes he or she receives messages through the radio is experiencing delusions of reference. These delusions involve the client interpreting events within the environment as being directed toward him- or herself.
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A nurse has assessed a community and has found many areas in which health can be improved. As a result, the nurse has multiple ideas for programming. What action by the nurse is best?
a. Determine what the community thinks is most important b. Use vital statistics to determine which is most important c. See what other communities are focusing programming on d. Choose the easiest problem to address first
Rob, a 15-year-old, has lost 30 pounds in 3 months. Rob is 6 feet tall and weighs 110 pounds. He is aspiring to be a model and he tells you that he is fat: "Just look at how puffy my feet and arms still are. I have to get rid of the fat there."
The nursing diagnosis based on this information is: A. Body image disturbance: distorted perception. B. Knowledge deficit: nutritional requirements. C. Altered nutrition, more than body requirements. D. Potential for suicide.
A 55-year-old man suffered a myocardial infarction (heart attack) three months ago. During his hospitalization, he had stents inserted in two locations in the coronary arteries. He was also placed on a cholesterol-lowering agent and two antihypertensives
What type of care is he receiving? 1) Primary prevention 2) Secondary prevention 3) Tertiary prevention 4) Health promotion
Which of the following has the highest case fatality rate of any known human infection?
1. Influenza 2. AIDS 3. Pertussis 4. Rabies