A 44-year-old man with a successful corporate career has been going through a time of intense job stress. In recent weeks,

he has confided in his wife that he believes his firm's financial oversight committee exists solely to monitor every aspect of his personal performance and that the committee's financial mandate is simply a deception and cover-up of its true purpose. A nurse would recognize that this man may be experiencing which subtype of delusional disorder?

A) Grandiose
B) Somatic
C) Conjugal
D) Persecutory


Ans: D
Clients who exhibit persecutory delusions believe that they are being conspired against, spied on, poisoned or drugged, cheated, harassed, maliciously maligned, or obstructed in some way. This delusion is not characteristic of somatic, conjugal, or grandiose subtype.

Nursing

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While reading a chart the nurse notes the patient has a gene mutation that affects protein structure, producing hemoglobin S. The patient will experiences symptoms of:

A) Edema B) Thrombotic organ damage C) Metastasis of a glioblastoma D) Amyotrophic lateral sclerosis

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The home health nurse counseling a family who will be caring for a relative with moderate-stage Alzheimer's disease will stress the need for:

a. a consistent routine to provide structured environment. b. making each day different to enhance at-tention span. c. using several caregivers to increase social skills. d. placing bright scatter rugs, flower ar-rangements, and wall decorations to sti-mulate sensory perception.

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Which factor places the pregnant woman at risk for thromboembolic disease?

a. Vena cava compression b. Decreased blood volume c. Increased fibrinolysis d. Decreased coagulability

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A pregnant client who restricted the intake of fat, protein, and sugar to prevent a large weight gain delivers a small-for-gestational-age fetus. What long-term health problems is this child at risk for developing as an adult? Select all that apply

1. Arthritis 2. Diabetes 3. Hypertension 4. Cystic fibrosis 5. Coronary heart disease

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