A schizophrenic client in the psychiatric inpatient unit is yelling, "The CIA is trying to kill me. I know they're plotting to kill me so they can overthrow the government." Based on the client's statement, which clinical manifestation should the nurse document in the client record?
A. Demonstrates paranoia
B. Exhibits ideas of reference
C. Evidence of persecutory delusions
D Evidence of ideas of somatic delusions
Ans: C. Evidence of persecutory delusions
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A nurse teaching a patient about a tyramine-restricted diet would approve a meal consisting of:
a. mashed potatoes, ground beef patty, corn, green beans, and apple pie b. avocado salad, ham, creamed potatoes, asparagus, and chocolate cake c. noodles with cheddar cheese sauce, sausage, lettuce salad, and yeast rolls d. macaroni and cheese, hot dogs, banana bread, and caffeinated coffee
A nurse is developing a plan of care for a client who was recently diagnosed with human immunodeficiency virus (HIV). The client states, "I don't plan on giving up sex just because I am HIV positive."
Based on this data, which nursing diagnosis is the priority for this client? A) Risk for Infection B) Death Anxiety C) Deficient Knowledge D) Social Isolation
The nurse explains that the four lines of defense the body employs to combat infection are __________, __________, __________, and __________
Fill in the blank(s) with correct word
A nurse is preparing to assess a client before a physician prescribes a regimen of psychopharmacological therapy. Which components should the nurse assess prior to the initiation of therapy? Select all that apply
A) Medical history B) Physical examination C) Ethnocultural assessment D) Current medication E) Client response to medication