A nursing diagnosis that would be appropriate to consider for any patient with a personality disorder is:
a. anxiety.
b. risk for self-mutilation.
c. disturbed thought processes.
d. impaired social interaction.
D
Impaired social interaction is a possibility for any patient with a personality disorder. Antisocial patients rarely experience anxiety. Self-mutilation is most common in patients with borderline personality disorder. Formal thought disorder is rarely seen among patients with personality disorders.
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A nurse is caring for a neonate who weighs 7 lb 3 oz at birth. What should the infant's weight be at 1 year?
a. 10 lb 3 oz b. 14 lb 6 oz c. 21 lb 9 oz d. 28 lb 12 oz
A 37-year-old teacher is hospitalized with complaints of weakness, incoordination, dizziness, and loss of balance
The diagnosis is multiple sclerosis (MS). Which of the following signs and symptoms, revealed during the history and physical assessment, is typical of MS? A) Diplopia, history of increased fatigue, and decreased or absent deep tendon reflexes B) Flexor spasm, clonus, and negative Babinski's reflex C) Blurred vision, intention tremor, and urinary hesitancy D) Hyperactive abdominal reflexes and history of unsteady gait and episodic paresthesia in both legs
A nurse in the geriatric area of a hospital sits with a client and discusses teaching on how to keep the Groshong port clean when she goes home
What strategies for controlling environmental constraints should the nurse keep in mind when working with clients who are geriatric? A) Try to arrange learning experiences when the learner feels relatively healthy. B) Have a sufficient grasp of the subject matter. C) Make sure expectations and standards are clear. D) Provide time for learning at a comfortable pace.
A young adult female patient who takes a combination oral contraceptive (OCP) will begin taking an antibiotic. When teaching the patient about this medication, the nurse will
a. recommend using a backup method of contraception. b. suggest that she switch to an injectable form of contraception. c. tell her that the antibiotic is less effective if she is taking OCPs. d. tell her the antibiotic has a greater risk for toxicity while taking OCPs.