During an MSE a patient says, "I am a special messenger sent to provide the world a cure for cancer." The patient's statement indicates the presence of
a. a phobia.
b. a delusion.
c. hypervigilance.
d. loose associations.
B
Delusions are false beliefs. Grandiose delusions are beliefs that one possesses greatness or special powers. A phobia is an excessive fear. Hypervigilance refers to being hyperalert and suspicious. Loose associations refer to a thought disorder in which ideas are only loosely connected.
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A community health nurse is participating in a case-control observational study. Which of the following would most likely be part of this type of study?
A) Description of patterns of occurrence of illness and injury in a population B) Investigation of development of health/illness conditions over a long period of time C) Studying of a cohort, with evaluation of variables associated with the disease or injury D) Comparison of persons with and without a health/illness condition
Mr. Right employs 22 children in his clothing factory. Each child is no older than 10 years of age and works 11 hours a day, 6 days a week. Mr. Right is practicing:
a. Abuse b. Neglect c. Violence d. Exploitation
Which of the following represent poor scholarly writing and, consequently, should not appear as they are written in a journal article? (Select all that apply.)
a. "Regretfully nobody in the control group survived past three years this is because of the continued effects of the disease process itself if untreated it is fatal." b. "Results of the study indicated that causation was directional in the A, B, F, and K groups however none were identified as impacting the final outcome." c. "We as experienced researchers cannot explain why the intervention failed in not one, but three consecutive mini-trails, numbers 5, 6, and 7, becoming suddenly effective in the subsequent twenty-three mini-trials. We checked and rechecked instrument calibrations, controlled diligently for intra-rater reliability, recomputed coefficients of change, trended all data, reentered data manually, examined the effect of sixteen potentially extraneous variables, and ultimately ended as baffled as we started." d. "The result's were a complete surprise. 44% of the control subject's experienced spontaneous remission's." e. "Attrition continued over the course of the experiment, with additive attrition of 2% in the first quarter, 5% in the second quarter, 16% in the third quarter, and 25% in the fourth. In the second year, attrition claimed another half of the sample. Data collection was suspended after the eighth quarter, since the results had limited applicability, due to extensive attrition." f. "An inadequate sample threatened to end the study. Inclusion criteria were broadened, to include those who had participated in clinical research, in the past, but there were no takers." g. "There was no way of determining who's answers had been positive on the pre-test, until the post-test was completed."
Assessment reveals that a female patient has 4+ pitting edema in both lower extremities. Both legs are reddened, with shiny spots, and the skin is dry and flaky
Which assessment finding would the nurse interpret as the best indicator of venous insufficiency? 1. Dry skin 2. Reddened color 3. Flaking skin 4. Shiny skin