A patient with depersonalization disorder tells the nurse, "It's starting again. I feel as though I'm going to float away." The nurse should help the patient by:
a. encouraging meditation.
b. administering an anxiolytic medication.
c. helping the patient visualize a pleasant scene.
d. helping the patient focus on the here and now.
ANS: D
Talking with someone who can help the patient focus on reality allows the patient to interrupt the stimulus to dissociate. The incorrect options foster detachment.
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The nurse is admitting a client with Cooley's anemia to the hospital with a hemoglobin of 6.2 g/dL and hematocrit of 26%. What does the nurse document about the client's skin?
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A nurse is assessing a patient's peripheral circulation. Which finding indicates venous insufficiency of this patient's legs?
a. Paresthesias and weak, thin peripheral pulses b. Leg pain that can be relieved by walking c. Edema that is worse at the end of the day d. Leg pain that increases when the legs are lowered
Which are characteristic of the physical development of a 30-month-old child (select all that apply)?
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