The nurse is preparing the assessment of a client with a diagnosis of paranoid personality disorder. What client characteristics will the nurse document?
A) Suspicions and rigidity
B) Superficial charm
C) Affective instability
D) Grandiosity
A,
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Which of the following statements is true regarding the examination of peripheral arteries?
a. The thumb should not be used to assess pulses. b. Palpate at least one pulse in each extrem-ity, usually the most proximal one. c. The pulses are most readily felt over bony prominences. d. Extremity pulses do not normally generate waveforms.
A patient states, "I've been sick for days, and all the doctor does is take a chest x-ray, hand me prescriptions, and tell me I have bronchitis." The nurse realizes that this patient's treatment
1. is appropriate for the diagnosis. 2. should include more diagnostic tests. 3. is inadequate for the diagnosis of bronchitis. 4. should include hospitalization.
A patient with TB who is in respiratory isolation must go to the x-ray department. Which action should the nurse take?
a. Place a gown and gloves on the patient. b. Place a mask over the patient's nose and mouth. c. Notify the x-ray department that the test must be cancelled. d. Call the x-ray department to make sure the waiting room is empty.
A nurse cares for a client with end-stage heart failure who is awaiting a transplant. The client appears depressed and states, "I know a transplant is my last chance, but I don't want to become a vegetable." How should the nurse respond?
a. "Would you like to speak with a priest or chaplain?" b. "I will arrange for a psychiatrist to speak with you." c. "Do you want to come off the transplant list?" d. "Would you like information about advance directives?"