A young adult arrives in the after-hours clinic with dilated pupils, an elevated heart rate, extreme sensitivity to sounds around him, sense of being outside of his body, and fine tremors of the hands
The patient admits to recent use of an illegal street drug. As the nurse collecting this data, you suspect:
A.
LSD.
B.
"Crack" cocaine.
C.
Amphetamines.
D.
Downers.
ANS: A
Hallucinogenics like LSD produce a sense of enhanced perception of the environment, which can contribute to a sense of depersonalization and panic.
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For a patient with dementia, how might the nurse best improve orientation and clarity? Select all that
apply. a. Place personal objects where the patient can see them. b. Introduce yourself each time you have contact with the patient. c. Encourage the patient to relax while the nurse gives the bath. d. Use short sentences with only a few words. e. Do not offer many choices when it comes to ADLs.
Clients with antisocial personality disorder display a lack of empathy and will put their own needs above the needs of others
Interventions for clients with antisocial personality disorder will be targeted toward which of the following behaviors? 1. Displaying a great deal of responsibility toward others 2. Displaying a disregard for the rights of others 3. Displaying a great deal of self-control 4. Displaying a great deal of anxiety
The clinical nurse recalls that the newborn has mechanisms by which heat is lost following birth. Which of the following are examples of heat lost via convection? (Select all that apply.)
A. Placed near an open window B. Placed on a cold scale C. Placed under a ceiling fan D. Not dried adequately after birth E. Placed in a warmer that is not yet warm
A client tells the nurse that she is unable to enjoy sexual relations with her husband. Which of the following is a risk factor for sexual dysfunction?
a. Age b. Employment status c. Pain level d. Self-esteem