An anorexic client states to a nurse, "My father has recently moved back to town." Since that time the client has experienced insomnia, nightmares, and panic attacks that occur nightly. She has never married or dated and lives alone
What should the nurse suspect? A. Possible major depressive disorder
B. Possible history of childhood incest
C. Possible histrionic personality disorder
D. Possible history of childhood bulimia
B
The nurse should suspect that this client might have a history of childhood incest. Adult survivors of incest are at risk for developing posttraumatic stress disorder, sexual dysfunction, somatization disorders, compulsive sexual behavior disorders, depression, anxiety, eating disorders, and substance abuse disorders.
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Pain is a complex phenomenon that affects both the physical and mental areas. When teaching the client about pain, which statement made by the client would indicate appropriate understanding?
1. "Cancer pain usually only lasts a short time." 2. "Acute pain is usually rapid and can vary in intensity." 3. "Chronic pain may be acute, chronic, or intermittent." 4. "Chronic pain usually only lasts a little while."
A patient has just undergone surgery for malignant melanoma. Which of the following nursing actions should be prioritized?
A) Maintain the patient on bed rest for the first 24 hours postoperative. B) Apply distraction techniques to relieve pain. C) Provide soft or liquid diet that is high in protein to assist with healing. D) Anticipate the need for, and administer, appropriate analgesic medications.
A patient receives succinylcholine for paralysis during endoscopy. During the procedure, the patient's muscles become rigid and the skin feels hot to the touch. The major concern in this patient is the possibility of:
1. esophageal perforation. 2. malignant hyperthermia. 3. septicemia. 4. hyperthyroid storm.
The nurse notices dimpling of the skin surrounding a palpable mass on the right breast of a female client and:
a. Records this as a normal finding. b. Palpates the area of dimpling for pain. c. Palpates the borders of the area of dimpling for irregularity. d. Tells the client that dimpling indicates the mass is benign.