A client with obsessive-compulsive personality disorder is described by other staff as being per-fectionistic, inflexible, and a "master at procrastination."
The nurse learns that the client is nearly immobilized during times that call for the client to make a decision. The nurse realizes that the most likely hypothesis is this behavior is related to:
1. A need to make others uncomfortable
2. Needing to be the center of attention
3. Wanting someone else to be responsible
4. Fear of making a mistake
ANS: 4
This irrational belief is often the basis for procrastination and indecision. It is related to the cli-ent's need for perfection. The other options are not relevant for a client with this particular per-sonality disorder.
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The charge nurse on a busy inpatient psychiatric unit is concerned because a nurse and a nursing assistant have called out for the shift. Upon calling the nursing office, the charge nurse is informed that there is no one to replace them
In addition, the emergency call button at the nurse's station is malfunctioning. This charge nurse sees this as a violation of: a. Legal rights b. The patient bill of rights c. Care provider rights d. Ethical principles
Which instruction is most helpful in teaching the family and patient who is in the rehabilitation phase after a CVA about altered sensation?
a. Make frequent assessments for signs of pressure or injury. b. Use the affected side in supporting the patient in ambulation and transfer to sti-mulate better sensation. c. Apply ice packs to the affected limbs to encourage a return of sensation. d. Apply a heating pad to the affected limbs to increase circulation.
An outpatient who has chronic heart failure returns to the clinic after 2 weeks of therapy with metoprolol (Toprol XL). Which assessment finding is most important for the nurse to report to the health care provider?
a. 2+ pedal edema b. Heart rate of 56 beats/minute c. Blood pressure (BP) of 88/42 mm Hg d. Complaints of fatigue
The nurse is involved in requesting a management consultation for personnel-related issues. Which of the following is true regarding the consultation process in which the nurse is involved?
1. The problem area should be totally delegated to the consultant. 2. Consultation is often used when the exact problem remains unclear. 3. The problem area is identified by any member of the health care team. 4. Feelings about the problem should be described to the consultant by the nurse.