A 34-year-old client with residual schizophrenia frequently displays ambivalence. The community mental health nurse suggests that a realistic short-term outcome for this client problem is that cli-ent will:

1. Decide his or her own daily schedule
2. Refuse to attend activities
3. Choose which clinic staff member to work with
4. Choose between two outfits to wear each morning


ANS: 4
An early step would be to make choices about nonthreatening matters when presented with lim-ited alternatives. 1. This involves many choices. 2. Negativity is one way ambivalence is mani-fested, so this would not indicate improvement. 3. This represents a choice of huge importance, rather than being a simple matter.

Nursing

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a. "This test will assess for a hormone secreted on a circadian rhythm." b. "The hormone is diluted in urine; therefore, we need a large volume." c. "We are assessing when the hormone is secreted in large amounts." d. "To collect the correct hormone, you need to urinate multiple times."

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Each of the following patients requires sertraline therapy. Which patient would require the closest monitoring by the nurse?

A) A 32-year-old man who is obese B) A 38-year-old woman who has diabetes C) An 11-year-old child with no other illnesses D) A 45-year-old man with liver impairment

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The nurse for a urology clinic is planning an in-service about urinary infections for a group of novice nurses. Which should the nurse include in the presentation?

A) Men are most likely to experience descending urinary tract infections. B) Straight catheterization is the only way to evaluate for the presence of a urinary tract infection. C) Women require a shorter course of antibiotic therapy to manage a urinary tract infection than men. D) The rate of urinary tract infections is similar between men and women.

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When assessing a patient with a brain injury using the Glasgow Coma Scale (GCS), the nurse gathers information regarding which of the following parameters?

A) Reflex activity B) Level of consciousness C) Cognitive ability D) Sensory involvement

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