The client finds fault in every success she has. She is afraid to try anything new because she "just knows" that she will fail because she is mentally ill. Her behaviors demonstrate:

a. Low self-esteem
b. Suicidal ideation
c. Low abstraction abilities
d. Altered thought processes


A
Mentally troubled people often see themselves as helpless, ineffective, and incapable of change, which leads to chronic low self-esteem. Suicidal ideation refers to persistent thoughts of suicide; low abstraction abilities refer to the inability to think conceptually; and altered thought processes refer to a disruption in the ability to think clearly.

Nursing

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During the initial interview at the crisis center, a patient reveals that his wife asked him for a divorce. He is so anxious that he "cannot think straight.". Which response would best assess the patient's coping skills?

a. "I can see you are upset. You can rely on us to help you feel better.". b. "What would you like us to do to help you feel more relaxed?" c. "In the past, how did you handle difficult or stressful situations?" d. "Do you think you deserve to have things like this happen to you?"

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Your patient is lying supine and you ask him to raise his leg while you place resistance against the thigh. The examiner is testing the patient for:

A. Psoas sign B. Obturator sign C. Rovsing's sign D. Murphys' sign

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The client with heart failure is experiencing respiratory difficulty. Which is the nurse's best intervention?

A. Place the client in the high-Fowler's position. B. Suction the client. C. Auscultate the client's heart and lungs. D. Place the client on fluid restriction.

Nursing

One of the elderly participants in a health promotion class takes multiple medications. He is a regular at the class but lately has missed several sessions. The nurse investigates his absences and is told,

"I have been getting confused about which day of the week it is for the last month. Just getting old I guess." The first thing the nurse should assess for is A) dementia. B) medication safety. C) TIA. D) stroke.

Nursing