A patient recently diagnosed with HIV infection reports symptoms that support a diag-nosis of adjustment disorder

These symptoms include telling the nurse, "I feel so sad every time I think of my diagno-sis. I cry a lot, and I don't go out as much as I did before. It just doesn't seem right to laugh. I don't have a good appetite, but I force myself to eat something at every meal, so I haven't lost weight." From this description, the nurse would determine that the patient's symptoms most closely correspond to those of (select all that apply):
a. Sadness
b. Anorexia
c. Aggression
d. Frequent crying
e. Delusional beliefs


ANS: A, B, D
The selected symptoms most closely resemble those of adjustment disorder with depressive features. Aggression is more impulsive in nature and delusions are related to psychotic condi-tions.

Nursing

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Shortly after birth, all newborns are tested for phenylketonuria. The test results are not available before mother and baby are discharged from the hospital

When the diagnosis of PKU is made, the most appropriate means of informing the parents would be: 1. Immediately in a phone call requesting a follow-up office visit 2. In a certified letter explaining the diagnosis and requesting the parents make a pediatric office appointment. 3. In a group meeting of all parents whose children tested positive for phenylketonuria during the last two months. 4. In person with the physician and both parents present.

Nursing

Order: Depo-Medrol 40 mg IM Available: Depo-Medrol 50 mg/mL

a. 0.8 mL b. 1.25 mL c. 1 mL d. 2 mL

Nursing

During urine glucose testing, compare the strip's color change within ____ to ___ seconds

Fill in the blank(s) with the appropriate word(s).

Nursing

The fetal heart rate baseline is 140 beats per minute. When contractions begin, the fetal heart rate drops suddenly to 120 and rapidly returns to 140 before the end of the contraction. Which nursing intervention is best?

1. Determine the color of the leaking amniotic fluid. 2. Apply oxygen to the client at 2 L per nasal cannula. 3. Notify the operating room of the need for a cesarean birth. 4. Assist the client to change from the Fowler position to the left lateral position.

Nursing