The nurse is caring for a client with depression. The nurse recognizes which assessment findings to be symptoms of depression?(Select all that apply.)
1. Lack of energy
2. Sleep disturbances
3. Feelings of despair
4. Increased energy
5. Euphoria
1, 2, 3
Rationale 1: Lack of energy is a symptom of depression.
Rationale 2: Sleep disturbances are a symptom of depression.
Rationale 3: Feelings of despair are a symptom of depression.
Rationale 4:Increased energy is incorrect because a lack of energy is a symptom of depression.
Rationale 5:Euphoria is incorrect because sadness is a symptom of depression.
Global Rationale: Lack of energy, sleep disturbances, and feelings of despair are all symptoms of depression. Increased energy and euphoria are not symptoms of depression.
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The nurse is caring for a patient who had a radical neck dissection for treatment of a malignant tumor. Which of the following nursing assessments would be a priority for this patient?
A) Presence of acute pain and anxiety B) Tissue integrity and color of the operative site C) Respiratory status and airway clearance D) Self-esteem and body image
As an alternative or supplement to pretests, focus groups can also be used in scale development
A) True B) False
A provider has told a parent that a 3-year-old child has a minor ear infection and that an antibiotic would be prescribed in a couple of days if the child's symptoms worsened
The parent asks the nurse why the child cannot get an antibiotic today. Which response by the nurse is correct? a. "If the eardrum ruptures, we can culture the fluid to determine which antibiotic is best." b. "Most ear infections are caused by viruses, so antibiotics are not effective." c. "Most ear infections will resolve on their own without antibiotics." d. "Your child will develop tolerance to antibiotics if they are prescribed too often."
What is the purpose of a Candida skin test when testing for tuberculosis (TB)?
a. To determine if the patient has a Candida albicans infection b. To provide a control test c. To potentiate the purified protein derivative (PPD) test d. To test for skin superinfection