A patient diagnosed with schizophrenia says to the nurse, "I feel really close to you. You're the only true friend I have." Select the nurse's most therapeutic response
a. "We are not friends. Our relationship is a professional one."
b. "I feel sure there are other friends in your life. Can you name some?"
c. "I am glad you trust me. Trust is important for the work we are doing together."
d. "Our relationship is professional, but let's explore ways to strengthen friendships."
D
The patient's remarks call for the nurse to remind the patient of the parameters of their relationship and take the opportunity to discuss the issue of friends. Only this option incorporates both desired elements.
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A nurse assesses clients with potential endocrine disorders. Which clients are at high risk for adrenal insufficiency? (Select all that apply.)
a. A 22-year-old female with metastatic cancer b. A 43-year-old male with tuberculosis c. A 51-year-old female with asthma d. A 65-year-old male with gram-negative sepsis e. A 70-year-old female with hypertension
A nurse is working with a patient who was diagnosed with HIV several months earlier. The nurse should recognize that a patient with HIV is considered to have AIDS at the point when the CD4+ T-lymphocyte cell count drops below what threshold?
A) 75 cells/mm3 of blood B) 200 cells/mm3 of blood C) 325 cells/mm3 of blood D) 450 cells/mm3 of blood
A young adolescent client is concerned about experiencing severe cramps with menstruation. What should the nurse respond to this client?
A) "This is not normal but is something that can be treated." B) "You have cramps because you started your periods too early." C) "Cramps are seen in those who just start having periods and will become less severe as you get older." D) "You need to see a gynecologist for a pelvic examination."
Which of the following types of drugs cross-link strands of cellular DNA and interfere with RNA, causing an imbalance of growth that results in cell destruction?
A. alkylating agents B. antimetabolites C. antibiotic antitumor drugs D. miotic inhibitors