A nurse admits an older client who is experiencing memory loss, confused thinking, and apathy. A psychiatrist suspects depression. What is the rationale for performing a mini-mental status exam?

A. To rule out bipolar disorder
B. To rule out schizophrenia
C. To rule out neurocognitive disorder
D. To rule out a personality disorder


ANS: C
A mini-mental status exam should be performed to rule out neurocognitive disorder. The elderly are often misdiagnosed with neurocognitive disorder such as Alzheimer's disease, when depression is their actual diagnosis. Memory loss, confused thinking, and apathy are common symptoms of depression in the elderly.

Nursing

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Advances in genetic screening provide information with high levels of certainty about genetic disorders a fetus might have. Which of the following is an ethical implication of these advances?

1. The nurse must be aware of parent feelings regarding the information available to them. 2. The nurse must be aware of his own personal feelings about the actions taken after the screening tests are completed. 3. The parents must be aware of the nurse's feelings regarding the information available about the fetus. 4. The nurse must participate in actions that are completely contradictory to his personal ethics.

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Client education for crutch walking for the client with a full left leg cast includes which of the following?

a. The tripod position is the basic stance. b. Place crutch tips 12 to 15 inches in front of and lateral to the client's foot. c. Change crutch tips frequently. d. Place weight equally on the axilla pieces when moving the affected leg.

Nursing

During the evaluation and revision process, the nurse needs to consider the client's progress toward understanding the relationship between the dissociative state and the increased anxiety that is felt as repressed past trauma is triggered by

environmental factors. What would the nurse use to evaluate the client's progress toward this understanding so that revisions can be made if necessary? A) Ability to recall past traumatic events B) A decrease in self-destructive behaviors C) Imitation of the behaviors modeled by the nurse D) Acceptance by the family of the client's dissociative state

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Which instruction should the nurse give the client with the disease tuberculosis (TB)?

A) "Don't worry, your disease is not contagious." B) "You will need to be isolated until your sputum smear is negative." C) "Once you start taking isoniazid, you will not be contagious." D) "You will need to be isolated while you have an active cough."

Nursing