A patient presents with withdrawal, poor concentration, fatigue, weakness, anorexia and aches. What conditions should the nurse consider as part of a differential diagnosis?
1. Anxiety and multiple sclerosis
2. Depression and congestive heart failure
3. Anxiety and diabetes
4. Depression and acute inflammatory illness
Answer: 4
Explanation: Patients with acute inflammatory illness may exhibit sickness behavior, a constellation of symptoms similar to those of depression. Multiple sclerosis symptoms may appear similar to depression, not to anxiety. Although patients with congestive heart failure may also have depression, the symptoms of the two conditions do not generally mimic one another. The symptoms of anxiety and diabetes are different.
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A female student, seen in the campus clinic, states that she uses feminine hygiene douches every day and after intercourse. What is the best response from the nurse?
a. "Douching has been used as an effective means of birth control for years." b. "Commercially prepared douches will neutralize the female vaginal tract." c. "Douching should only be done when or-dered by a physician or nurse practition-er." d. "Douching protects the vaginal tract from microorganisms."
Patency of the nares must be determined at birth because:
a. of the possibility of polyps b. mouth breathing will exhaust the newborn c. the baby will have nasal flaring if not patent d. newborns are nose breathers
The nurse is teaching a new mother how to reduce tension in the newborn and infant. Which of the following activities will the nurse recommend?
a. giving the breast or bottle so that the baby falls asleep with warm milk b. talking softly, singing, and gentle stroking c. swinging the baby in the air, holding the neck secure d. bouncing the child on the knee
Which type of atypical antipsychotic is available in special formulations for difficult patients needing immediate treatment from a psychotic episode?
A. Risperidone B. Aripiprazole C. Olanzapine D. Clozapine