A client is explaining a wonderful opportunity for a new job and the client is confident about being a good candidate for the position. The nurse should determine that the client:
1. is delusional.
2. is optimistic, with a positive attitude.
3. is bragging.
4. is depressed.
Answer: 2
1. Self-confidence and a positive attitude are not delusional behaviors.
2. The client is confident with a positive attitude, which promotes mental health.
3. Bragging might be exhibited by the client's saying that the job was in the bag or that no one else could top the client. This client is simply confident.
4. A depressed client is usually not confident with a positive attitude.
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The FOUR (Full Outline of UnResponsiveness) tool is based on the assessment of the status of the: (Select all that apply.)
a. eye response. b. motor response. c. brainstem response. d. respiratory function. e. reflex response.
An emergency department nurse is admitting a client with ischemic stroke who is eligible for thrombolytic therapy
The nurse works quickly to provide care, knowing that for this therapy to be effective, it must be administered in a post-stroke time window of a. 30 minutes. b. 3 hours. c. 6 hours. d. 12 hours.
In discussing the history of psychiatric-mental health nursing and its place within nursing history, one interesting thing you might mention would be that:
A) Certification for the psychiatric–mental health nursing specialty was first emphasized by Mary Adelaide Nutting. B) Psychiatric nurses played a part in seeing that all deinstitutionalized patients got treatment at community mental health centers. C) There is a historical link between the first nursing program to admit male students and the first training school for psychiatric nursing. D) The first graduate program in psychiatric nurses was established in response to the publication of psychiatric nursing specialty journals.