A nurse is caring for a client who was diagnosed with schizoaffective disorder. Based on an understanding of this disorder, the nurse develops a plan of care to address which issue as the top priority?
A) Suicide
B) Aggression
C) Substance abuse
D) Eating disorder
Ans: A
One of the characteristics that distinguish schizoaffective disorder from schizophrenia is that clients with schizoaffective disorder are extremely susceptible to suicide. Schizoaffective disorder may be associated with substance abuse, but this would not be the priority. Aggression and eating disorder are not commonly associated with schizoaffective disorder.
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A patient with severe anxiety has been pacing the hall and suddenly begins to run, shouting "I'm going to explode!" over and over. The nurse who has been walking with him should:
a. run after the patient and call out for the patient to stop running. b. catch up with him and manually hold him to prevent further running. c. say, "I'm not sure what you mean—tell me more, give me an example.". d. quickly gather more staff and state, "We will help you regain control.".
When assessing the musculoskeletal system of an older client, it would be important for the nurse to report which finding?
1. Client complains of stiffness and mild pain in the knee joints. 2. Client complains of numbness in the hands. 3. Client is unable to fully extend arms about the head. 4. Crepitus is heard when bending the knee.
A patient comes to a clinic for tuberculosis medications 2 weeks after beginning treatment with a four-drug induction phase. The patient's sputum culture remains positive, and no drug resistance is noted
At this point, the nurse will expect the provider to: a. change the regimen to a two-drug contin-uation phase. b. continue the four-drug regimen and re-check the sputum in 2 weeks. c. obtain a chest radiograph and consider adding another drug to the regimen. d. question the patient about adherence to the drug regimen.
A nurse manager wants his nursing unit to be a place where all nurses want to work, where patient satisfaction is high, and care is innovative and interdisciplinary
Staff are encouraged to chair taskforces to improve quality of care and he counsels staff in areas of measuring patient outcomes. Other managers want to mimic this manager's approach to improve their own units. This nurse is which type of leader? a. Transformational b. Transactional c. Laissez-faire d. Authoritative