Which factor frequently precipitates exacerbations of a client's symptoms of multiple sclerosis?
a. paresthesia
b. blind spots or flashing "lights" in one or both eyes
c. exposure to extreme cold
d. periods of emotional or physical stress
D
Multiple sclerosis (MS) can affect the myelin sheath of brain or spinal cord tissue, or both. Manifestations of MS vary according to the area of demyelination; the disease is characterized by remission and exacerbation due to periods of emotional or physical stress. Symptoms include motor difficulties (e.g., decreased muscle strength, spasticity, paralysis), sensory issues (e.g., visual disturbances, numbness, paresthesia), and other disturbances (e.g., mood changes, sexual dysfunction).
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A patient being treated for an MI has been transferred from the intensive care unit to a step-down unit
She is anxious and uses the call bell as often as every 15 minutes, complaining or making a seemingly small request each time the staff member enters the room. Which indicator should staff focus on to monitor for the outcome of "anxiety self-control"? a. Patient monitors duration of anxiety episodes b. Patient sleeps 7 or more hours each night c. Patient has stopped using the call button d. Uses call button not more than once per hour
The nurse knows that during deep sleep the neonate should not be disturbed if possible. Characteristics of deep sleep include what?
a. Regular breathing b. Occasional smiling c. Rapid eye movements d. Apneic pauses of less than 20 seconds
Unmet physical and emotional needs can cause discomfort
Indicate whether the statement is true or false
A client with obsessive-compulsive personality disorder seeks treatment for depression after the recent breakup of a relationship
The client constantly procrastinated about proposing marriage and said his girlfriend complained that he did not show her affection and that he was too controlling. Now he describes inability to sleep, poor concentration, and loss of energy since the breakup. Which outcome is a priority for the client? The client will: 1. Demonstrate assertive behavior 2. Express hope for developing a new relationship in the future 3. Identify feelings of sadness related to the failed relationship 4. List three new ways to reduce stress