When engaging in a therapeutic relationship with a client diagnosed with a dissociative disorder, it is important to use stimuli that stimulate pleasant memories and pleasurable feelings for the client. Why?
A) Stops the regression of the client into further self-destructive behaviors
B) Develops a contract between the client and the staff for dealing with self-destructive behaviors
C) Assists the client to remember past experiences without the risk of precipitating increased trauma
D) Helps the client to understand that periods of imbalance are to be expected and will decrease as the personal identity is restored
C
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The nurse notices her 50-year-old patient is holding his lunch menu at arm's length while trying to read his choices. This is an indication of:
a. retinopathy. b. presbyopia. c. cataracts. d. macular degeneration.
The nurse is caring for a patient with moderate Alzheimer disease (AD). The health care provider has ordered memantine (Namenda) for the collaborative treatment of the patient's disease. What is the nurse's best understanding of this medication's action?
1. Protects cells against excess glutamate by partially blocking NMDA c-receptors. 2. Slows the degradation of acetylcholine, thereby increasing concentration of the neurotransmitters in the cerebral cortex. 3. Protects cells against excess NMDA by partially blocking glutamate c-receptors. 4. Slows the degradation of dopamine, thereby increasing concentration of the neurotransmitters in the cerebral cortex.
A critically ill patient requires IV insulin for persistent hyperglycemia. Current fingerstick blood glucose is 68 mg/dL. According to international critical care guidelines, which nursing intervention is indicated?
1. Call for a laboratory glucose test. 2. Increase the rate of the insulin drip by 2 units per hour. 3. Administer 10 mL of D5W by bolus injection. 4. Administer 0.5 g sugar dissolved in orange juice by mouth.
A 25-year-old female is diagnosed with tic douloureux. How should the nurse describe this disorder to the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "This condition is also called Bell's palsy.". 2. "You are the typical age for onset of this condition.". 3. "More women than men have this condition.". 4. "More testing will be necessary.". 5. "The treatment for this condition is to allow it to run its course, which is typically 5 to 7 days.".