A client with paranoid schizophrenia tells the nurse "I have to get away. The volmers are coming to execute me." The term "volmers" can be assessed as
A. a neologism.
B. clang association.
C. blocking.
D. a delusion.
Ans: A. a neologism.
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The nurse administers a narcotic by intramuscular injection for postoperative pain. How much time does the nurse use to estimate the expected time of pain relief for the client?
1. 5 minutes 2. 15 minutes 3. 30 minutes 4. 60 minutes
A person is heavier than the weight limit of the mechanical lift. What should you do?
a. Tell the nurse. b. Use the lift. c. Get another co-worker to help. d. Allow personal choice. Ask the person what to do.
A client has been taking low-dose oral contraceptives. She calls the clinic and reports that she is mid-cycle and has noticed some slight spotting. What information should the nurse provide?
1. "Slight spotting may occur, especially with low-dose oral contraceptives." 2. "You may be pregnant; please stop taking these pills and come to the clinic." 3. "Monitor the bleeding and contact us again if it becomes continuous or heavy." 4. "This is an adverse reaction; stop using the pills." 5. "You must have gotten the wrong pills at the pharmacy."
A nurse is caring for a client with spastic colitis. What sign and symptom should be reported to the physician for further evaluation?
A) Diarrhea B) Flatulence C) Abdominal pain D) Fever