A patient diagnosed with dementia associated with excessive alcohol use tells a nurse, "Last week I had to take my baby to the hospital for major surgery. That's why I've been so nervous and needed to come here."
The nurse is aware that the patient has never parented any children. The symptom described can be assessed as: a. akathisia.
b. confabulation.
c. intellectualization.
d. magical thinking.
B
Confabulation is the process of making up a response to a question when one cannot remember the answer. It is a face-saving strategy that helps the individual deny memory loss.
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A patient has substernal chest pain that radiates to the neck. The pain lasts 5 minutes and then subsides with relaxation. What is the cause of the chest pain?
A) Myocardial infarction B) Intermittent claudication C) Hypertension D) Angina pectoris
How can the nurse help reduce the stress of a hospital admission? (Select all that apply.)
a. Show the patient how bedside equipment works. b. Explain the need to establish a clear source of reimbursement. c. Give simple explanation of policies. d. Involve the patient in the plan of care. e. Keep family interventions to a minimum.
Which situation is consensual sex rather than rape?
a. A husband forces vaginal sex when he comes home intoxicated from a party. The wife objects. b. A woman's lover pleads with her to have oral sex. She gives in but then regrets the decision. c. A person is beaten, robbed, and forcibly subjected to anal penetration by an assailant. d. A dentist gives anesthesia for a procedure and then has intercourse with the unconscious patient.
An anorexic client states to a nurse, "My father has recently moved back to town." Since that time the client has experienced insomnia, nightmares, and panic attacks that occur nightly. She has never married or dated and lives alone
What should the nurse suspect? A. Possible major depressive disorder B. Possible history of childhood incest C. Possible histrionic personality disorder D. Possible history of childhood bulimia