Which assessment findings validate that a patient with bipolar disorder is experiencing mania? Select all that apply
a. Pacing
b. Agitation
c. Drowsiness
d. Delusional thoughts
e. Psychomotor retardation
A, B, D
Agitation, increased motor activity (pacing), and delusional thoughts may all accompany mania. The patient with mania would have an increased level of alertness rather than drowsiness. Psychomotor retardation would be expected with depression.
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Which of the following clusters of personality disorders is associated with odd or eccentric behaviors?
A) Cluster A B) Cluster B C) Cluster C D) Cluster D
A 34-year-old male patient seen at the primary care clinic complains of feeling continued fullness after voiding and a split, spraying urine stream. The nurse will ask about a history of
a. recent kidney trauma. b. gonococcal urethritis. c. recurrent bladder infection. d. benign prostatic hyperplasia.
The family of a client diagnosed with a stroke asks the nurse if this health problem is very common. The nurse should respond that in the United States a person has a stroke every:
1. 40 seconds. 2. 1 minutes. 3. 2 minutes. 4. 5 minutes.
One of the diagnoses formulated for this client who recently experienced a CVA (cerebrovascular accident) is Risk for aspiration, related to neuromuscular dysfunction. Of the following interventions, which includes a rationale?
1. Have suction equipment available at all times. 2. Clear secretions from oral/nasal passageways as needed. 3. Keep client in low-Fowler's position to prevent reflux. 4. Provide frequent assessment for presence of obstructive material in mouth and throat.