A physical therapist recently convicted of multiple counts of Medicare fraud is brought to the
emergency department after taking an overdose of sedatives. He tells the nurse "Sure I overbilled.
Why not? Everybody takes advantage of the government. They have too many rules. No one can
abide by all of them.". These statements can be assessed as showing
a. glibness and charm.
b. superficial remorse.
c. lack of guilt feelings.
d. excessive suspiciousness.
C
Rationalization is being used to explain behavior and deny wrongdoing. Option B: The individual
who does not believe he or she has done anything wrong will not manifest anxiety, remorse, or guilt
about the act. Options A and D: The client's remarks cannot be assessed as charming, and lack of
trust and concern that others are determined to harm him are not shown.
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Nurses generally believe in patient's rights. The belief of the nurse does not, however, always coincide with the beliefs of some cultural backgrounds. What aspects of patient care may be influenced by diverse cultural perspectives?
A) Full disclosure of unit-specific policies B) Lack of cultural understanding C) Inability to communicate across cultural differences D) Informed consent
Which data found on a client's health history would place her at risk for an ectopic pregnancy?
a. Ovarian cyst 2 years ago b. Recurrent pelvic infections c. Use of oral contraceptives for 5 years d. Heavy menstrual flow of 4 days' duration
An obese patient is admitted to the unit. The blood glucose level is 379, urinalysis reveals glycosuria, blood pressure is 178/99, and the patient complains of muscle aches and weakness
The patient also exhibits a "moon face" and "buffalo hump." The nurse recognizes these signs and symptoms as ______________________ and anticipates _____________________. a. Graves' disease; treatment directed at the cause b. Addison's disease; administration of fludrocortisone c. Cushing's syndrome; treatment directed at the cause d. diabetes; insulin replacement therapy
What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats against staff, ripped art off the walls, and thrown objects?
a. Risk for other-directed violence b. Risk for self-directed violence c. Impaired social interaction d. Ineffective denial