When a patient who introduces herself as a famous movie star and treats everyone and everything in the environment as if it were a movie set, the nurse documents this behavior as:
a. fantasy ideation.
b. delusional thinking.
c. fixation syndrome.
d. imaginary wishes.
B
A delusion is a false, fixed belief.
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A 75-year-old male client is brought to the clinic by his son. The son states, "Ever since Mom died, Dad hasn't been the same. At first he just seemed sad, but now he seems to get mixed up about everything
" The nurse is aware that based on the client's history, the source of confusion is most likely: a. Dementia b. Depression from the loss of his wife c. Hypoxia of the brain d. Delirium from medications
Which of the following over-the-counter skin preparations should the nurse instruct the elderly to use with caution?
A) superfatted soaps B) emollients that keep the skin moist C) steroid-based ointments and creams D) sunblock
A 63-year-old male patient had a cystectomy with an ileal conduit yesterday. Which new assessment data is most important for the nurse to communicate to the physician?
a. Cloudy appearing urine b. Hypotonic bowel sounds c. Heart rate 102 beats/minute d. Continuous stoma drainage
A client with generalized anxiety disorder reports that she likes to have a cocktail every evening before dinner. The nurse would expect the physician to order:
A) Atenolol (Tenormin). B) Buspirone (BuSpar). C) Alprazolam (Xanax). D) Propanolol (Inderal).