Because of his fear of poisoning, a client with a diagnosis of schizophrenia has severely limited his food intake over the past several months, leading a weight loss of nearly 40 pounds
What consideration would be the priority in the planning of this client's care?
A) The client's compliance with psychotherapy
B) The client's mood and affect
C) The client's coping skills
D) The client's nutritional status
Ans: D
Because of their urgency, physiologic needs such as the stabilization of a comorbid medical condition take precedence over needs that are higher on Maslow's hierarchy.
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A wife brings her husband to an emergency department after an attempt to hang himself. He is a full-time student and works 8 hours at night to support his family
He states, "I can't function any longer under all this stress." Which type of crisis is the client experiencing? 1. Maturational/developmental crisis 2. Psychiatric emergency crisis 3. Anticipated life transition crisis 4. Traumatic stress crisis
Compartment syndrome is treated by removing the cast or dressing and:
a. performing a fasciotomy b. administrating antibiotics c. doing physical therapy d. elevating the affected limb higher than the heart, and applying ice packs
The nurse is teaching the student nurse how to perform a physical assessment based on the child's developmental stage
Which of the following statements accurately describes a recommended guideline for setting the tone of the examination for a school-age child? A) Keep up a running dialogue with the caregiver, explaining each step as you do it. B) Include the child in all parts of the examination; speak to the caregiver before and after the examination. C) Speak to the child using mature language and appeal to his or her desire for self-care. D) Address the child by name; speak to the caregiver and do the most invasive parts last.
A school nurse is caring for an adolescent diagnosed with migraine headaches. Which nursing intervention is most appropriate during an acute migraine?
a. Maintain bright lights in the room. b. Administer sumatriptan succinate (Imitrex). c. Obtain a complete headache history. d. Provide ordered opioid analgesic.