A parent reports being afraid that a child may have schizophrenia because of disorganized speech and asocial behaviors. The nurse will tell this parent that which of the following must also be present to make a diagnosis? (Select all that apply.)
a. A decrease in self-care, job, or school function
b. A history of substance abuse
c. A 1-month duration of active phase symptoms
d. Continuous signs of disturbance for longer than 6 months
e. The presence of manic episodes
A, C, D
Patients must have at least two symptoms with 1-month duration of active symptoms. One symptom must be delusions, hallucinations, or disordered speech. Patients must have continuous signs of disturbance for longer than 6 months. A history of substance abuse and manic episodes are not associated with schizophrenia.
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The nurse receives an order from the primary care provider that the nurse believes would be harmful to the client. What should the nurse do to meet her legal obligation to the client?
1. Carry out the order as written, because the provider knows best. 2. Document in the medical record that the order wasn't carried out, and why. 3. Contact the supervisor to discuss the order and the nurse's concerns. 4. Just ignore the order, and document that it was not carried out.
An older client is experiencing a new problem with itchy skin. What should the nurse explain to the client?
1. Aging causes decreased sweat and oil glands. 2. The client is not drinking enough fluid. 3. The client has renal failure. 4. The client is ingesting too much sodium.
A staff nurse has kept a time log to assist her in developing her time management skills. After a week, she reviews the log with her nurse manager and notices that there were several times that she was waiting for supplies and missing medications
The nurse manager suggests which of the following? a. Notifying the pharmacy and central supply that there are delays in supply delivery b. Gathering supplies and checking for the availability of medications so they can be ordered prior to starting care c. Informing the prior shift that this is a problem d. Completing an occurrence report so qual-ity assurance will investigate the problem
The nurse is preparing to test a patient for postvoid residual with a bladder scan. Which action will the nurse take?
a. Measure bladder before the patient voids. b. Measure bladder within 10 minutes after the patient voids. c. Measure bladder with head of bed raised to 60 degrees. d. Measure bladder with head of bed raised to 90 degrees.