You have just admitted a client to your unit diagnosed with depersonalization disorder. What would be the most appropriate nursing diagnosis for this client when developing the client's care plan?
A) Self-care deficit, related to mechanical trance-like state or aimless wandering
B) Sensory perceptual alteration, related to depersonalization and view of self
C) Anxiety, related to repressed traumatic events or loss of identity
D) Family coping ineffective, related to loss of identity
B
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A group of nursing students are reviewing information about salicylates. The students demonstrate understanding of the information when they identify which of the following as a salicylate? Select all that apply
A) Ecotrin B) Bufferin C) Tylenol D) Dolobid E) Motrin
A client is admitted to the psychiatric care unit. During the admission process, while the nurse is explaining the use of the call light the client smiles and says, "Apples, corn, dogs, my foot
" The nurse correctly documents the client is demonstrating which of the following speech patterns? 1. Neologisms 2. Clanging 3. Word salad 4. Echolalia
Which nursing intervention is aimed at reducing muscle weakness in the client with myas-thenia gravis?
A. Therapeutic massage B. Assisting the client with ADLs C. Providing pressure-reducing devices D. Repositioning the client every 2 hours
A new graduate nurse is concerned about the ability to communicate effectively with patients and families. An experienced nurse explains to the new nurse that a good rule of thumb is for the new nurse to
a. avoid using silence until comfortable with patients. b. find and use metaphors that are easily understood. c. mirror patients in actions and depth of conversation. d. use personal stories to encourage bonding with patients.