When counting the apical pulse,
A) place the stethoscope over the brachial area.
B) listen for a pulse deficit.
C) count for 30 seconds and multiply by 2.
D) count each lub-dub sound as one beat.
D
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The nurse is caring for a patient diagnosed with dissociative identity disorder (DID). Which statements by the patient best describes the manifestations of this disorder? Select all that apply
1. "I feel like my body is here but my mind is not." 2. "I have chronic pain, not a psychological problem." 3. "I can't really find any words to describe my feelings." 4. "I sometimes feel like I am floating in the air looking down at myself." 5. "I cannot recall the events that happened during certain periods of time."
Which type of therapy assists the clients to alter their irrational thinking?
A) Psychopharmacology B) Desensitization C) Behavioral Therapy D) Cognitive Therapy
A child has been diagnosed with autism spectrum disorder. The distraught mother cries out, "I'm such a terrible mother. What did I do to cause this?" Which nursing reply is most appropriate?
A. "Researchers really don't know what causes autistic disorder, but the relationship between autistic disorder and fetal alcohol syndrome is being explored." B. "Poor parenting doesn't cause autism. Research has shown that abnormalities in brain structure and/or function are to blame. This is beyond your control." C. "Research has shown that the mother appears to play a greater role in the development of this disorder than the father." D. "Lack of early infant bonding with the mother has shown to be a cause of autistic disorder. Did you breastfeed or bottle-feed?"
Which of the following is not one of the "knowledge domains" necessary for case managers?
1. Clinical protocols and tactics—developing and implementing unidirectional clinical protocols for care delivery 2. Health care management and delivery—focusing on understanding the roles and functions of the various health care providers and using them appropriately 3. Health care reimbursement—understanding the principles and strategies related to health insurance, the prospective payment system, and other mechanisms for payment for health care 4. Vocational concepts and strategies—understanding ergonomics, life care planning, and modifications of homes and workplaces to accommodate disabilities