While interviewing a patient, a nurse notes that the patient uses invented words and that the patient's thoughts do not seem to flow logically. These observations are most consistent with a diagnosis of:
a. depression.
b. panic disorder.
c. schizophrenia.
d. defensive coping.
C
These symptoms indicate the presence of a thought disorder seen more often in patients with schizophrenia than in those with panic or depression. Defensive coping is not a diagnosis.
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The charge nurse on the evening shift has been working on the unit for 14 years. When the unit manager is on vacation, the charge nurse fills in the leadership role
While in this role the charge nurse senses a change in the nursing staff?s morale. The staff appears happier, more energetic and productive. The charge nurse believes this change is a direct effect of the: 1. Staff?s relationship with the nurse manager. 2. Environment of the organization. 3. Staff?s wages. 4. Shifts they are working.
A client is hospitalized in an acute care facility. The client complains of pain. The nurse attempts to administer the prescribed Naproxen (Aleve) to the client
The client attempts to chew the medication and states he has difficulty swallowing pills. What action by the nurse is indicated? A) Offer the client water to wash out his mouth. B) Advise the client you will crush and put the medication in applesauce or pudding next time. C) Discourage the client from the practice. D) Discuss options available to help the client swallow the medication whole.
The RN is documenting the patient's complaint of pain rated a 6 on a scale of 0 to 10 . Which of the following would be the most appropriate chart entry, if made by the nurse?
a. Pt. complaining of pain. MD notified. b. Pt complaining of pain rated at 6 on a scale of 0-10, states "My left leg is really hurting." Pt. grimacing, voice elevated. MD notified. c. Pt. complaining of pain rated at 6 on a scale of 0-10 . Appears to be in pain. MD notified. d. Pt. complaining of pain rated 6 . Wants more pain medication; appears to be drug-seeking. MD notified.
During the administration of the thrombolytic agent to a patient with an acute myocardial infarction (AMI), the nurse should stop the drug infusion if the patient experiences
a. bleeding from the gums. b. increase in blood pressure. c. a decrease in level of consciousness. d. a nonsustained episode of ventricular tachycardia.