A patient with severe schizophrenia is seen at a community mental health center. He tells the nurse, "I am here to save the world. I threw away the pills because they make God go away."
The nurse identifies the patient's reason for medication nonadherence as: a. poor alliance with clinicians.
b. inadequate discharge planning.
c. dislike of drug side effects.
d. poor insight into his illness.
D
The patient's nonadherence is most closely related to lack of insight into his illness. The patient believes he is an exalted personage who hears God's voice, rather than an individual with a serious mental disorder who needs medication to control his symptoms. Data do not suggest any of the other factors often related to medication nonadherence.
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During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of the following ways?
a. Listening to at least one full respiration in each location b. Listening as the patient inhales and then going to the next site during exhalation c. Instructing the patient to breathe in and out rapidly while listening to the breath sounds d. If the patient is modest, listening to sounds over his or her clothing or hospital gown
During the preschool years, a toddler's future body type becomes apparent. Body types may be:
1. ectomorphic (lanky body), mesomorphic (medium, muscular body), or endomorphic (large body). 2. delomorphic (small, muscular body), ectomorphic (lanky body), or mesomorphic (medium, muscular body). 3. delomorphic (small, muscular body), mesomorphic (medium, muscular body), or endomorphic (large body). 4. small, medium, or large frame.
In the male, all of the following changes in sexuality occur with aging EXCEPT
a. delayed erection c. less intense orgasm b. sperm are no longer produced d. rapid testicular des-cent
When assessing an older adult client, the nurse recognizes the client has a significant hearing loss. The most appropriate intervention by the nurse is to
a. introduce herself first. b. shout into the client's good ear. c. repeat words the client doesn't understand. d. check the hearing aid batteries.