A patient remanded by the court after his wife had him jailed for battery told the judge how sorry he was and suggested he needed psychiatric help. His history reveals acting-out behaviors as an adolescent and several adult arrests
The nurse interviews him about his relationship with his wife. Which statement by the patient is most consistent with a diagnosis of antisocial personality disorder? a. "I've done some stupid things in my life, but I've learned a lesson.".
b. "I'm feeling terrible about the way my behavior has hurt my family.".
c. "I have a quick temper, but I can usually keep it under control.".
d. "I hit her because she nags at me. She deserves it when I beat her up.".
D
The antisocial patient often impulsively acts out feelings of anger and usually feels no guilt or remorse. This patient rarely seems to change the behavioral patterns or otherwise learn from experience, commonly has problems with anger management and impulse control, and rarely feels true remorse.
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A patient is receiving oprelvekin (Neumega) subcutaneously daily. Which laboratory value indicates that the therapy is effective?
a. Hemoglobin 12 g/dL b. Platelet level 55,000/mm3 c. Red blood cells 4.5 million/mm3 d. International normalized ratio (INR) 1.0
A client with uncontrolled type 1 diabetes mellitus is at high risk for acidosis because of which of the following?
1. An elevated serum glucose level contributes to the osmotic retention of water. 2. The body cannot quickly metabolize the body fat that is broken down for energy. 3. The kidneys cannot excrete the excess glucose effectively. 4. The liver continues to break down glycogen to glucose.
Which physical assessment findings would the nurse consider normal for the postpartum patient following a vaginal delivery? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Elevated blood pressure 2. Fundus firm and midline 3. Moderate amount of lochia serosa 4. Edema and bruising of perineum 5. Inflamed hemorrhoids
A client is taking an anxiolytic agent secondary to grief-related anxiety. The client questions the nurse about abruptly discontinuing these agents
The nurse's response is based on the knowledge that, when discontinuing these medications: a. the dosage must be tapered to avoid withdrawal. b. the client must be evaluated for hyperglycemia. c. hangover syndrome must be planned for. d. blood levels must be monitored.